Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 324282091 | NY |
NPI | 1023246972 |
---|---|
Provider Name | Ms. Audrey Schiavo |
First Address | Getzville, NY 14068-1231 |
Second Address | Getzville, NY 14068-1231 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2009 |
Last Update Date | 03/05/2011 |