Individual
DR. CAROL ATWATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
945 ROUTE 146, CLIFTON PARK, NY 12065-3649
(518) 383-8889
(518) 383-8881
Mailing address
945 ROUTE 146, CLIFTON PARK, NY 12065-3649
(518) 383-8889
(518) 383-8881
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
011449
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011449
NYS LICENSE #
NY
05
—
01627114
—
NY
Enumeration date
01/04/2007
Last updated
05/16/2011
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