Individual
JOHN FORSYTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4 AVIS DR STE 101, LATHAM, NY 12110-2650
(518) 560-4277
Mailing address
4 AVIS DR STE 101, LATHAM, NY 12110-2650
(518) 560-4277
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
013985
NY
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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