Most Relevant Information
Provider Data
NPI Number: | 1003126210 |
Provider Name: | MICHELLE MEMOLI LCSW-R, PSY.D. |
Entity Type: | Individual |
Taxonomy Code: | 1041C0700X |
Specialty: | Social Worker |
License Number: | 050395-1-R |
Most Important Dates
Enumeration Date: | 10/21/2010 |
Last Updated: | 10/21/2010 |
Provider Practice Location
15 COOPER RD
SCARSDALE
NY
105832801
Practice Location Phone/Fax
Phone: | 9143259375 |
Fax: |
Provider Mailing Location
15 COOPER RD
SCARSDALE
NY
105832801
Provider Mailing Phone/Fax
Phone: | 9143259375 |
Fax: |