JULISSA GARRIS-SHADE

MELVILLE, NY
NPI1740722313
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TS0200X Psychologist, School
Enumeration Date2016-11-13
Last Update Date2016-11-13
Business Address
Dr. JULISSA GARRIS-SHADE Psy.D.
222 BAGATELLE RD
MELVILLE, NY 11747-4104
Phone number: 631-643-6960
Mailing Address
Dr. JULISSA GARRIS-SHADE Psy.D.
222 BAGATELLE RD
MELVILLE, NY 11747-4104
Phone number: 631-643-6960
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