Individual
JOSHUA W RACKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
425 ROBINSON ST, BINGHAMTON, NY 13904-1735
(607) 772-9100
Mailing address
425 ROBINSON ST, BINGHAMTON, NY 13904-1735
(607) 772-9100
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
021782
NY
Other
Enumeration date
08/26/2013
Last updated
09/07/2016
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