Individual
IAN RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, CAS
Contact information
Practice address
40 DEVEREUX WAY, RED HOOK, NY 12571-2268
(845) 758-1899
Mailing address
40 DEVEREUX WAY, RED HOOK, NY 12571-2268
(184) 575-8189
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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