Individual
ELANA DUMONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
6776 BOOTH ST APT 3A, FOREST HILLS, NY 11375-3113
(516) 680-7080
Mailing address
6776 BOOTH ST APT 3A, FOREST HILLS, NY 11375-3113
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
021913-1
NY
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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