Individual
KERRIN SENDROWITZ O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1509 S OUTAGAMIE ST, APPLETON, WI 54914-5580
(518) 698-3103
Mailing address
1509 S OUTAGAMIE ST, APPLETON, WI 54914-5580
(518) 698-3103
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
020475
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020475
PSYCHOLOGY LICENSE
NY
Enumeration date
09/13/2019
Last updated
09/13/2019
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