Individual
MS. IRENE FERNANDEZ GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS.ED; PD; SAS
Contact information
Practice address
8605 30TH AVE, EAST ELMHURST, NY 11369-1409
(917) 692-2313
Mailing address
8605 30TH AVE, EAST ELMHURST, NY 11369-1409
(917) 692-2313
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NY
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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