Individual
HELENA A. RODERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
999 JAMAICA AVE, NS-LIJ STUDENT HEALTH CENTER AT F.K. LANE HIGH SCHOOL, BROOKLYN, NY 11208-1503
(718) 235-1087
Mailing address
543 MAIN ST, UNIT 308, NEW ROCHELLE, NY 10801-7214
(914) 819-8803
(718) 235-1291
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
015492-1
NY
Other
Enumeration date
04/10/2007
Last updated
08/19/2007
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