Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TC2200X | Clinical Child & Adolescent Psychologist | ||
Y | 103TS0200X | School Psychologist |
NPI | 1134430820 |
---|---|
Provider Name | Dr. Sarah Judith Weinreb |
First Address | Woodmere, NY 11598-1636 |
Second Address | Woodmere, NY 11598-1636 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2010 |
Last Update Date | 26/05/2011 |