Individual
DONNA THERESA LOEHLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 SURREY LN, BALLSTON SPA, NY 12020-2718
(518) 813-6624
Mailing address
8 SURREY LN, BALLSTON SPA, NY 12020-2718
(518) 813-6624
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000474
NY
Other
Enumeration date
08/11/2017
Last updated
08/11/2017
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