Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 021568 | NY |
Y | 103T00000X | Psychologist | 021568 | NY |
NPI | 1013404870 |
---|---|
Provider Name | Dr. Julia Margaretha Hormes |
First Address | Albany, NY 12222-0001 |
Second Address | Albany, NY 12203-6326 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2018 |
Last Update Date | 17/04/2018 |