Individual
GINNA M ROEDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
790 LANCASTER ST, ALBANY, NY 12203-1506
(518) 489-4431
(518) 489-5189
Mailing address
790 LANCASTER ST, ALBANY, NY 12203-1506
(518) 489-4431
(518) 489-5189
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
011101
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01700201
—
NY
Enumeration date
09/14/2006
Last updated
07/08/2007
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