Individual
KAYLA ROUNDSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
950 S OYSTER BAY RD, HICKSVILLE, NY 11801-3511
(631) 920-8306
Mailing address
950 S OYSTER BAY RD, HICKSVILLE, NY 11801-3511
(516) 822-6111
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
01/25/2019
Last updated
12/16/2020
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