Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 009041 | NY |
Y | 103TC0700X | Clinical Psychologist | 009041 | NY |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 009041 | NY |
NPI | 1023184066 |
---|---|
Provider Name | Christopher A Sowley |
First Address | Bronx, NY 10471-3836 |
Second Address | White Plains, NY 10605-2061 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2006 |
Last Update Date | 19/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01592938 | (05) | NY |