Individual provider · Type 1 NPI

Sonia P. Azevedo, PhD

Local Education Agency (LEA) · Mineola, NY

NPI number 1245515402 Active

Practice location

200 Emory Rd
Mineola, NY 11501-2363

Fax (516) 237-2508

Mailing address

200 Emory Road
Mineola, NY 11501

Specialties and licenses

TaxonomyCodeLicense
Local Education Agency (LEA) Primary 251300000X014982-1 (NY)
Psychologist 103T00000X014982-1 (NY)

Local Education Agency (LEA): The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in…

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About NPI 1245515402

Sonia P. Azevedo, PhD's National Provider Identifier is 1245515402, issued on Oct 19, 2011. The primary taxonomy on file is Local Education Agency (LEA) (251300000X), and the practice location is in Mineola, NY. The record was last updated on Oct 19, 2011.