Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor | 00014544 |
NPI | 1225269483 |
---|---|
Provider Name | Christine Mary Kearney |
First Address | Syracuse, NY 13219-3009 |
Second Address | Syracuse, NY 13219-3009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2009 |
Last Update Date | 05/08/2009 |