Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist |
NPI | 1083004006 |
---|---|
Provider Name | Barbara Miner |
First Address | Glens Falls, NY 12801-4544 |
Second Address | Glens Falls, NY 12801-4544 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2015 |
Last Update Date | 29/01/2015 |