Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 210980032 | NY |
NPI | 1053858142 |
---|---|
Provider Name | Mrs. Janet Barcenas-Quinde |
First Address | Bronx, NY 10463-4801 |
Second Address | Bronx, NY 10463-4801 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2017 |
Last Update Date | 26/01/2017 |