Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 1365039 | NY |
NPI | 1003150400 |
---|---|
Provider Name | Mrs. Amy Stemper |
First Address | New Rochelle, NY 10801-3518 |
Second Address | New Rochelle, NY 10801-3518 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/11/2012 |
Last Update Date | 07/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1365039 | SCHOOL PSYCHOLOGIST CERTIFICATION NUMBER (01) | NY |