Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist |
NPI | 1043676141 |
---|---|
Provider Name | Mrs. Sherrie Stahl |
First Address | Lockport, NY 14094-1421 |
Second Address | Lockport, NY 14094-1421 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2016 |
Last Update Date | 06/01/2016 |