Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 59153 | DE |
NPI | 1023398526 |
---|---|
Provider Name | Nicole W Garrity |
First Address | Newark, DE 19711-7136 |
Second Address | Newark, DE 19711-7136 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2011 |
Last Update Date | 29/08/2011 |