Individual
LARISSA JANICE RANCIER-OTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
7901 BROADWAY # D10-38, ELMHURST, NY 11373-1329
(718) 334-3512
(718) 334-5006
Mailing address
7901 BROADWAY # D10-38, ELMHURST, NY 11373-1329
(718) 334-3512
(718) 334-5006
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
025655
NY
Other
Enumeration date
04/25/2023
Last updated
02/07/2024
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