Individual
KRISTINA LAVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CAS, NCSP
Contact information
Practice address
216 COUNTY ROUTE 64, MEXICO, NY 13114-3229
(315) 963-0864
Mailing address
55 E UTICA ST, OSWEGO, NY 13126-2721
(315) 402-3660
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2540134
NY
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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