Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 6381 | NY |
Y | 103TC0700X | Clinical Psychologist | 6381 | NY |
NPI | 1003430992 |
---|---|
Provider Name | Katherine Oram |
First Address | Townshend, VT 05353-0013 |
Second Address | New York, NY 10003-3650 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2020 |
Last Update Date | 05/06/2020 |