Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | 000453 | NY |
Y | 101YM0800X | Mental Health Counselor | 000453 | NY |
N | 103TR0400X | Rehabilitation Psychologist | CRC #00006721 | NY |
NPI | 1275790792 |
---|---|
Provider Name | Ms. Ingrid Gertrud Dabney |
First Address | Hartsdale, NY 10530-1673 |
Second Address | Hartsdale, NY 10530-1673 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2008 |
Last Update Date | 21/05/2008 |