Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | C062018000293 | CT |
NPI | 1093295669 |
---|---|
Provider Name | Ms. Cody Rayher |
First Address | Milford, CT 06460-6308 |
Second Address | West Haven, CT 06516-5832 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2018 |
Last Update Date | 14/08/2018 |