Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | $$$$$$$$$ | NY |
NPI | 1003337510 |
---|---|
Provider Name | Dr. Wendi Lisa Goldstein |
First Address | Bay Shore, NY 11706-4147 |
Second Address | Bay Shore, NY 11706-4147 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2017 |
Last Update Date | 06/07/2017 |