Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | NY |
NPI | 1043572779 |
---|---|
Provider Name | Mrs. Corinna G Scozzaro |
First Address | Tonawanda, NY 14150 |
Second Address | Tonawanda, NY 14150-6223 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2012 |
Last Update Date | 08/06/2012 |