Individual
MRS. REGINA ADETORO OMOSEBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA PSYCHOLOGIST
Contact information
Practice address
46 COMMONWEALTH AVE, MIDDLETOWN, NY 10940
(646) 234-4140
(845) 467-4536
Mailing address
46 COMMONWEALTH AVE, MIDDLETOWN, NY 10940
(646) 234-4140
(845) 467-4536
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
03/12/2007
Last updated
02/15/2012
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