Individual
KAY C SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
201 EAST GREEN ST, ITHACA, NY 14850
(607) 274-6200
(607) 274-6224
Mailing address
278 BLACK OAK RD, ITHACA, NY 14850
(607) 274-6200
(607) 274-6224
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0121141
NY
Other
Enumeration date
06/08/2006
Last updated
08/11/2009
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