Amanda Darlene Gervera
School Psychologist
159 W 1st St
Oswego
, New York 13126-2045
Amanda Darlene Gervera
School Psychologist
159 W 1st St
Oswego
, New York 13126-2045
(315) 727-0180
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About
Features
Specialties
- School Psychologist
Languages spoken
- English
Location
First Address
- Amanda Darlene Gervera
- 10085 County Route 95
- Rodman, NY
- Zip : 13682-2116
- Phone : (315) 727-0180
Second Address
- Amanda Darlene Gervera
- 159 W 1st St
- Oswego, NY
- Zip : 13126-2045
- Phone : (315) 342-9575
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TS0200X | School Psychologist | 1107315171 | NY |
National Provider Identifier
| NPI | 1023526019 |
|---|---|
| Provider Name | Amanda Darlene Gervera |
| First Address | Rodman, NY 13682-2116 |
| Second Address | Oswego, NY 13126-2045 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/01/2018 |
| Last Update Date | 12/01/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.