Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | NY |
NPI | 1043756240 |
---|---|
Provider Name | Melissa Singh |
First Address | Delanson, NY 12053-1917 |
Second Address | Delanson, NY 12053-1917 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2017 |
Last Update Date | 20/02/2017 |