Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist |
NPI | 1063965200 |
---|---|
Provider Name | Jennifer Garvey |
First Address | Marysville, PA 17053-9788 |
Second Address | Marysville, PA 17053-9788 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2016 |
Last Update Date | 24/07/2016 |