Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | MI-PSP0000000751303 | MI |
NPI | 1053651703 |
---|---|
Provider Name | Alyssa Warshay |
First Address | Norman, OK 73072-7571 |
Second Address | Oklahoma City, OK 73139-8413 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2013 |
Last Update Date | 17/02/2013 |