Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist |
NPI | 1023367091 |
---|---|
Provider Name | Janet L Stephens |
First Address | Glens Falls, NY 12801-2635 |
Second Address | Glens Falls, NY 12801-4544 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2012 |
Last Update Date | 05/09/2012 |