Individual
KATHERINE MILLER-PROCKNAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5904 SHERIDAN DR STE 1, WILLIAMSVILLE, NY 14221-5873
(716) 886-5493
Mailing address
PO BOX 1955, BUFFALO, NY 14240-1955
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
022862
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022862
STATE LICENSE
NY
Enumeration date
09/18/2018
Last updated
01/06/2023
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