Individual
JILL DELTOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2310 NOTT ST E, NISKAYUNA, NY 12309-4345
(518) 372-6080
Mailing address
23 HARRIS AVE, FL 1, ALBANY, NY 12208-3003
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
021364
NY
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TH0004X
Health Psychologist
—
—
Other
Enumeration date
09/07/2012
Last updated
01/28/2016
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