Individual
ERICA BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
283 NY HIGHWAY 355, POESTENKILL, NY 12140-2816
(518) 466-2284
Mailing address
283 NY HIGHWAY 355, POESTENKILL, NY 12140-2816
(518) 466-2284
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1510740211
NEW YORK STATE SCHOOL PSYCHOLOGIST PROVISIONAL CERTIFICATE
NY
Enumeration date
08/16/2023
Last updated
08/16/2023
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