Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 001991-1 | NY |
NPI | 1003131830 |
---|---|
Provider Name | Mrs. Annette Susan Mctiernan |
First Address | Schenectady, NY 12305-2040 |
Second Address | Schenectady, NY 12305-2040 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2010 |
Last Update Date | 05/04/2010 |