Kathleen Anderson

Individual provider Active NPI School Psychologist · Mahopac, NY

NPI 1972357697 · NPPES record last updated Apr 17, 2024

Key facts

NPI
1972357697
Entity type
Individual (NPI type 1)
Primary specialty
School Psychologist 103TS0200X
Practice address
572 Route 6 Ste 102
Mahopac, NY 10541-4795
Phone
(845) 519-2295
NPI assigned
Apr 17, 2024
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X Yes

Addresses

Primary practice location

572 Route 6 Ste 102
Mahopac, NY 10541-4795

Mailing address

154 N White Rock Rd
Holmes, NY 12531-5415
Phone (845) 282-0432

Other providers in Mahopac, NY

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

Sources for this page

Verify at the official NPI Registry.