Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 2128623 | NY |
NPI | 1083948947 |
---|---|
Provider Name | Miss Chadine Ann Connor |
First Address | Brooklyn, NY 11233-4813 |
Second Address | Brooklyn, NY 11233-4813 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2009 |
Last Update Date | 25/09/2009 |