Individual
MS. MARISA KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, PD
Contact information
Practice address
3 GINGERBREAD LN, EAST HAMPTON, NY 11937-2480
(917) 371-6668
Mailing address
3 GINGERBREAD LN, EAST HAMPTON, NY 11937-2480
(917) 371-6668
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
823630
NY
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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