Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 009876 | NY |
NPI | 1013299940 |
---|---|
Provider Name | Dr. Valerie A Henigson |
First Address | Rye Brook, NY 10573-2808 |
Second Address | Rye Brook, NY 10573-2808 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2011 |
Last Update Date | 16/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01406968 | (05) | NY |