Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | P6889 | NY |
N | 103G00000X | Clinical Psychologist | P6889 | NY |
N | 103TC0700X | Clinical Psychologist | P6889 | NY |
N | 103TF0000X | Family Psychologist | P6889 | NY |
Y | 103TH0004X | Health Psychologist | P6889 | NY |
N | 103TP2701X | Group Psychotherapist | P6889 | NY |
NPI | 1104068683 |
---|---|
Provider Name | Dr. Amora Rachelle |
First Address | East Atlantic Beach, NY 11561-1153 |
Second Address | East Atlantic Beach, NY 11561-1153 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2009 |
Last Update Date | 31/03/2009 |