Individual
REBECCA AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. ED, CAS
Contact information
Practice address
2841 THOUSAND ACRES RD, DELANSON, NY 12053-1917
(518) 875-6141
Mailing address
2841 THOUSAND ACRES RD, DELANSON, NY 12053-1917
(518) 875-6141
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
942750151
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
942750151
NEW YORK STATE EDUCATION DEPARTMENT
NY
Enumeration date
06/01/2015
Last updated
06/01/2015
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