Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 8964 | NY |
N | 103T00000X | Psychologist | 8964 | NY |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 8964 | NY |
N | 103TA0700X | Adult Development & Aging Psychologist | 8964 | NY |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 8964 | NY |
N | 103G00000X | Clinical Psychologist | 8964 | NY |
N | 103TC0700X | Clinical Psychologist | 8964 | NY |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 8964 | NY |
N | 103TF0000X | Family Psychologist | 8964 | NY |
N | 103TH0100X | Health Service | 8964 | NY |
N | 103TP0814X | Psychoanalysis | 8964 | NY |
NPI | 1174655682 |
---|---|
Provider Name | Dr. Ann M. Kurz |
First Address | Mineola, NY 11501-1130 |
Second Address | Huntington Station, NY 11746-8703 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2007 |
Last Update Date | 08/07/2007 |