Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 023695-01 | NY |
NPI | 1053910059 |
---|---|
Provider Name | Dr. Erin Elizabeth Gurdineer |
First Address | Northville, NY 12134-0608 |
Second Address | Northville, NY 12134-0608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2020 |
Last Update Date | 21/10/2020 |