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Mrs. Laura Dieckhoff, SCHOOLPSYCHOLOGIST
Student in an Organized Health Care Education/Training Program in Port Jefferson, New York
NPI 1134895493

Laura Dieckhoff is a Student in an Organized Health Care Education/Training Program based in Port Jefferson, NY. Laura Dieckhoff practices in Port Jefferson, NY and has the professional credentials of SCHOOLPSYCHOLOGIST. The NPI Number for Laura Dieckhoff is 1134895493 and holds a License No. (New York).

The current practice location address for Laura Dieckhoff is 6 Bridle Path Ln, Port Jefferson, NY and can be reached out via phone at 516-233-6965.

Location: 6 Bridle Path Ln, Port Jefferson, NY, 11777-1514
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134895493
Provider Name
Laura Dieckhoff
Credential
SCHOOLPSYCHOLOGIST
Provider Entity Type
Individual
Gender
Female
Address
6 Bridle Path Ln, Port Jefferson, NY, 11777-1514
Phone Number
516-233-6965
Fax Number
Provider Enumeration Date
08/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6 Bridle Path Ln
City
Port Jefferson
State
New York
Zip
11777-1514
Phone Number
516-233-6965
Fax Number
person
Provider Business Mailing Address Details
Address
6 Bridle Path Ln
City
Port Jefferson
State
New York
Zip
11777-1514
Phone Number
516-233-6965
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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