Individual
SARAH TITHERINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCSP
Contact information
Practice address
37 EAGLE WAY, WEST CHAZY, NY 12992-2562
(518) 563-8035
Mailing address
37 EAGLE WAY, WEST CHAZY, NY 12992-2562
(518) 563-8035
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1070067161
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1070067161
NY STATE CERTIFICATE
NY
Enumeration date
09/30/2019
Last updated
09/30/2019
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