Individual
MRS. KIMBERLY ARIANNE AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAS
Contact information
Practice address
6296 FLY RD, EAST SYRACUSE, NY 13057-9333
(315) 701-5710
Mailing address
214 DORCHESTER AVE APT 2D, SYRACUSE, NY 13203-1423
(315) 529-5685
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1214952
NY
Other
Enumeration date
10/20/2009
Last updated
10/21/2009
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