Individual
MRS. TANYA PENNOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 WHITEHALL RD, ALBANY, NY 12209-1447
(518) 462-7241
Mailing address
108 WHITEHALL RD, ALBANY, NY 12209-1447
(518) 462-7241
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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