Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 013481-1 | NY |
Y | 103TC0700X | Clinical Psychologist | 013481-1 | NY |
N | 103TS0200X | School Psychologist | 788663971 | NY |
NPI | 1053621821 |
---|---|
Provider Name | Dr. Marjorie Garrido |
First Address | New York, NY 10001 |
Second Address | New York, NY 10001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2010 |
Last Update Date | 14/10/2010 |