Individual
CAROLYN WALDECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
575 UNDERHILL BLVD STE 114, SYOSSET, NY 11791-3436
(516) 780-0111
(516) 441-0199
Mailing address
575 UNDERHILL BLVD STE 114, SYOSSET, NY 11791-3436
(516) 780-0111
(516) 441-0199
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
019641
NY
Other
Enumeration date
07/09/2012
Last updated
11/29/2021
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