Individual
MRS. KELLY JASZKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S./C.A.S.
Contact information
Practice address
6167 W QUAKER ST, ORCHARD PARK, NY 14127-2640
(716) 662-4800
(716) 662-5700
Mailing address
6167 W QUAKER ST, ORCHARD PARK, NY 14127-2640
(716) 662-4800
(716) 662-5700
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1113810
NY
Other
Enumeration date
03/05/2009
Last updated
06/12/2012
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