MS. Willis Rae Mawyer, M.S., NCSP

NPI #1790097277 in Syosset, New York

Provider Information

NPI Number: 1790097277
Entity Type: Individual
Name: MS. Willis Rae Mawyer, M.S., NCSP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - School
Credential: M.S., NCSP
Enumeration Date: Jul 13, 2010
Last Updated: Jul 13, 2010

Practice Location

Address: 47 HUMPHREY DR
City: Syosset
State: New York
ZIP Code: 11791-4022
Phone: (516) 921-7171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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