Individual
DR. MICHELLE PETERS KOWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
J.D., PSY.D.
Contact information
Practice address
516 WASHINGTON AVE, RENSSELAER, NY 12144-1437
(518) 432-0432
(518) 583-4247
Mailing address
516 WASHINGTON AVE, RENSSELAER, NY 12144-1437
(518) 432-0432
(518) 583-4247
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
017709
NY
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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