Individual
MRS. CATHERINE DIANE DEFAYETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., C.A.S.
Contact information
Practice address
47 SAND RD, MORRISONVILLE, NY 12962-2924
(518) 565-5980
(518) 565-5972
Mailing address
47 SAND RD, MORRISONVILLE, NY 12962-2924
(518) 565-5980
(518) 565-5972
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
608893951
NY
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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