Individual
MARJORIE K DENNIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
125 ROCKEFELLER RD, DELMAR, NY 12054-2221
(518) 439-8116
Mailing address
17 LINTON ST, SELKIRK, NY 12158-9740
(518) 439-6767
(518) 439-6767
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
013925-1
NY
103TA0700X
Adult Development & Aging Psychologist
Primary
013925-1
NY
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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