Individual
KRISTINE FATZER DANBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1511 ROUTE 22, SUITE 128, BREWSTER, NY 10509-4020
(203) 313-0032
Mailing address
1511 ROUTE 22, SUITE 128, BREWSTER, NY 10509-4020
(203) 313-0032
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
019055
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03361268
—
NY
Enumeration date
08/22/2011
Last updated
04/25/2014
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