Individual
DR. BOBBI L RENDERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
48 SPRINGFIELD RD, UPPER JAY, NY 12987-3204
(518) 586-4101
Mailing address
48 SPRINGFIELD ROAD, UPPER JAY, NY 12987
(518) 946-7487
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
012414
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02430459
—
NY
Enumeration date
12/05/2005
Last updated
04/18/2022
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