Organization
SOUTHERN TIER SPECIAL NEEDS RESOURCES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY THERESA SCHRADER PHD (OWNER / MANAGING MEMBER)
(607) 206-4799
Entity
Organization
Contact information
Practice address
38 MARGARET ST, JOHNSON CITY, NY 13790-3016
(607) 206-4799
(607) 797-7601
Mailing address
38 MARGARET ST, JOHNSON CITY, NY 13790-3016
(607) 206-4799
(607) 797-7601
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/28/2013
Last updated
10/23/2013
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