Individual
CATHERINE A COMINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
387 HOOKER AVE, POUGHKEEPSIE, NY 12603
(845) 452-2102
(845) 229-1115
Mailing address
11 COVEY RD., HYDE PARK, NY 12538
(845) 229-0848
(845) 229-1115
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
008147-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004236
VALUE OPTIONS PROVIDER #
NY
01
—
008147-1
STATE LICENSE
NY
01
—
680-3664
EMPIRE GHI PROVIDER NUMBE
NY
Enumeration date
05/01/2007
Last updated
07/08/2007
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