Individual
MARTHA AGRESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
514 HAIGHT AVE, POUGHKEEPSIE, NY 12603-2464
(845) 485-9098
Mailing address
29 DAVIS RD, SALT POINT, NY 12578-3124
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
020769-1
NY
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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