Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist |
NPI | 1023468469 |
---|---|
Provider Name | Amanda L Catalano |
First Address | Middle Island, NY 11953-2045 |
Second Address | Middle Island, NY 11953-2045 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2016 |
Last Update Date | 16/06/2016 |