Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 011604 | NY |
Y | 103TS0200X | School Psychologist | 011604 | NY |
NPI | 1063788545 |
---|---|
Provider Name | Dr. Melissa Kaye-Swift |
First Address | Ardsley, NY 10502-2306 |
Second Address | New Rochelle, NY 10804-2411 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2012 |
Last Update Date | 28/03/2012 |