| Nancy Dejean Llc | |
|
320 Ivy Ave Westbury NY 11590-1916 | |
| (516) 524-5302 | |
| Not Available |
| Full Name | Nancy Dejean Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 320 Ivy Ave, Westbury, New York |
| Authorized Official Name and Position | Nancy Renaud Dejean (OWNER) |
| Authorized Official Contact | 5165245302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy Dejean Llc 320 Ivy Ave Westbury NY 11590-1916 Ph: (516) 524-5302 | Nancy Dejean Llc 320 Ivy Ave Westbury NY 11590-1916 Ph: (516) 524-5302 |
| NPI Number | 1487487625 |
|---|---|
| Provider Enumeration Date | 08/22/2024 |
| Last Update Date | 08/22/2024 |
| Certification Date | 08/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487487625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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