Wendy Abbott-Egnor, PHD
Individual provider Active NPI Clinical Psychologist · Latham, NY
NPI 1467087734 · NPPES record last updated Mar 7, 2020
Key facts
- NPI
- 1467087734
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 023668 (NY)
- Practice address
- 4 Avis Dr Ste 101
Latham, NY 12110-2650 - Phone
- (518) 560-4277
- Fax
- (518) 662-4277
- NPI assigned
- Mar 7, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023668 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freedom First Psychological Services, PLLC | Current |
Accepting new patients | |
| Romero Oncology, PLLC | Current |
Accepting new patients |
Locations
4 Avis Dr
Ste 101
Latham, NY 12110
Phone (518) 560-4277
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 023668 | NY | Yes |
Addresses
Primary practice location
4 Avis Dr Ste 101
Latham, NY 12110-2650
Mailing address
4 Avis Dr Ste 101
Latham, NY 12110-2650
Phone (518) 560-4277
Other providers in Latham, NY
All providers in Latham, NY · Clinical Psychologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.