Individual provider · NPI-1

Yesenia Camacho, Psy.D

Psychologist · Astoria, NY

NPI number1518299783
StatusActive
Last updated in NPPESSep 2, 2011

Details

NPI
1518299783
Entity type
Individual (NPI-1)
Name
Yesenia Camacho
Credential
Psy.D
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 12, 2010
Last updated
Sep 2, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X Psychologist––Yes

Practice location

2525 14th St
Apt 2f
Astoria, NY 11102-3720

Phone 215-817-0167

Mailing address

2525 14th St
Apt 2f
Astoria, NY 11102-3720

Phone 215-817-0167

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