DR. Suzanne L Velazquez, PH.D., L.C.S.W.

NPI #1992021604 in Bay Shore, New York

Provider Information

NPI Number: 1992021604
Entity Type: Individual
Name: DR. Suzanne L Velazquez, PH.D., L.C.S.W.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: PH.D., L.C.S.W.
Enumeration Date: Apr 20, 2010
Last Updated: Dec 15, 2021

Practice Location

Address: 83 E MAIN ST
City: Bay Shore
State: New York
ZIP Code: 11706-8305
Phone: (631) 666-5067

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary
Social Worker	104100000X

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