Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | OH3029826 | OH |
NPI | 1013314772 |
---|---|
Provider Name | Ms. Amanda Gilmore |
First Address | Aurora, OH 44202-6729 |
Second Address | Kent, OH 44240-2109 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/11/2014 |
Last Update Date | 24/11/2014 |