Individual
MR. JONATHAN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
590 GIFFORDS CHURCH RD, SCHENECTADY, NY 12306-5313
(518) 944-0443
Mailing address
867 MYRTLE AVE, ALBANY, NY 12208-2607
(518) 355-0826
(518) 356-4725
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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