Erin Elizabeth Gurdineer, PSY.D.

Individual provider Active NPI School Psychologist · Northville, NY

NPI 1053910059 · NPPES record last updated Oct 21, 2020

Key facts

NPI
1053910059
Entity type
Individual (NPI type 1)
Primary specialty
School Psychologist 103TS0200X
License
023695-01 (NY)
Practice address
131 South Third St
Northville, NY 12134-0608
Phone
(518) 863-7000
Fax
(518) 863-9197
NPI assigned
Oct 21, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
023695-01NYMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northville Central School District Past
since Oct 25, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 023695-01 NY Yes

Addresses

Primary practice location

131 South Third St
Northville, NY 12134-0608

Mailing address

PO Box 608
Northville, NY 12134-0608
Phone (518) 863-7000

Other providers in Northville, NY

All providers in Northville, NY · School Psychologist in New York

Sources for this page

Verify at the official NPI Registry.