Whalio Doctors

NPI 1003687914

Breanna Marie Economos

Practitioner Marriage & Family Therapist Ronkonkoma, NY

Practice location

Address
2290 9th Ave, Ronkonkoma, NY 11779-6277
Phone
(631) 708-6257

Registered specialties

Marriage & Family Therapist Primary
Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence P126356 (NY)

Registry record

NPI
1003687914
Entity type
Individual
Sex (as registered)
Female
NPI issued
10 Jan 2024
Record last updated
10 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.