Individual
KHADIJAH NORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
930 RAZ AVE, NEW WINDSOR, NY 12553-4705
(845) 248-5795
Mailing address
835 BLOOMING GROVE TPKE APT 65, NEW WINDSOR, NY 12553-8128
(845) 248-5795
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2853711
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2853711
SCHOOL PSYCHOLOGY CERTIFICATION NY STATE
NY
Enumeration date
09/10/2020
Last updated
09/10/2020
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