Victoria D Damm

Individual provider Active NPI School Psychologist · East Moriches, NY

NPI 1831933647 · NPPES record last updated Jun 25, 2024

Key facts

NPI
1831933647
Entity type
Individual (NPI type 1)
Primary specialty
School Psychologist 103TS0200X
Practice address
51 Pine Edge Dr
East Moriches, NY 11940-1548
Phone
(631) 405-8192
NPI assigned
Jun 25, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X Yes

Addresses

Primary practice location

51 Pine Edge Dr
East Moriches, NY 11940-1548

Mailing address

51 Pine Edge Dr
East Moriches, NY 11940-1548
Phone (631) 405-8192

Other providers in East Moriches, NY

All providers in East Moriches, NY · School Psychologist in New York

Sources for this page

Verify at the official NPI Registry.