Individual
MRS. CHARISSA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CAS
Contact information
Practice address
215 BASSETT ST, SYRACUSE, NY 13210-2113
(315) 472-4404
Mailing address
215 BASSETT ST, SYRACUSE, NY 13210-2113
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
623623121
NY
Other
Enumeration date
10/14/2013
Last updated
11/04/2015
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