Individual
OLIVIA MARY PINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.M.
Contact information
Practice address
123 E 7TH ST APT 5E, NEW YORK, NY 10009-5747
(646) 369-0833
Mailing address
123 E 7TH ST APT 5E, NEW YORK, NY 10009-5747
(646) 369-0833
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2195844
NY
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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