Individual
KATHERINE LOU DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., M.S.
Contact information
Practice address
19 GREENRIDGE AVE, WHITE PLAINS, NY 10605-1201
(914) 949-7680
Mailing address
2 ELLWOOD ST APT 4R, NEW YORK, NY 10040-1919
(908) 619-4523
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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