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Individual

DR. VERNA MACCORNACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6686
NY
103T00000X
Psychologist
6686
NY
103TA0700X
Adult Development & Aging Psychologist
6686
NY
103TC0700X
Clinical Psychologist
6686
NY
103TP0814X
Psychoanalysis Psychologist
Primary
6686
NY
106H00000X
Marriage & Family Therapist
6686
NY

Other

Enumeration date
03/29/2007
Last updated
09/21/2009
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