Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist |
NPI | 1073748489 |
---|---|
Provider Name | Mrs. Lynn Myers |
First Address | Highland, NY 12528-2824 |
Second Address | Highland, NY 12528-2824 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2009 |
Last Update Date | 29/05/2009 |