Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist |
NPI | 1053859298 |
---|---|
Provider Name | Rachelle Kalinsky |
First Address | Valley Cottage, NY 10989-5906 |
Second Address | Valley Cottage, NY 10989-5906 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2017 |
Last Update Date | 08/02/2017 |