Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist |
NPI | 1073983292 |
---|---|
Provider Name | Amanda Elizabeth Murray |
First Address | Geneva, NY 14456-1335 |
Second Address | Geneva, NY 14456-1335 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2015 |
Last Update Date | 30/09/2015 |