Individual
MRS. JANE DOHERTY O'DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFICATION
Contact information
Practice address
140 LESTER DR, TAPPAN, NY 10983-1217
(845) 680-1432
Mailing address
140 LESTER DR, TAPPAN, NY 10983-1217
(845) 680-1432
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NY
103TS0200X
School Psychologist
—
—
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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