Individual
SHANNON BELTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS. ED
Contact information
Practice address
2625 E 14TH ST, BROOKLYN, NY 11235-3979
(718) 998-3364
Mailing address
2625 E 14TH ST, BROOKLYN, NY 11235-3979
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2289321
NY
Other
Enumeration date
06/28/2012
Last updated
10/23/2012
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