Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist |
NPI | 1083869515 |
---|---|
Provider Name | Joanna Lundy |
First Address | New York, NY 10017-6307 |
Second Address | New York, NY 10017-6307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/11/2008 |
Last Update Date | 21/12/2011 |