Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist |
NPI | 1013466085 |
---|---|
Provider Name | Adedeji Raji |
First Address | Brooklyn, NY 11214-4607 |
Second Address | Bronx, NY 10462-2460 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2016 |
Last Update Date | 30/09/2016 |