Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 1294828 | NY |
NPI | 1093488512 |
---|---|
Provider Name | Mrs. Megan Elizabeth Papagno |
First Address | Massapequa, NY 11758-3455 |
Second Address | Massapequa, NY 11758-3455 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2021 |
Last Update Date | 29/07/2021 |