Individual
MARLA N MIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
276 HIGHGATE AVE, BUFFALO, NY 14215-1026
(716) 417-2952
Mailing address
276 HIGHGATE AVE, BUFFALO, NY 14215-1026
(716) 417-2952
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NY
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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