Individual
MRS. BETHANY L MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., S.S.P.
Contact information
Practice address
11 THISTLEWOOD DR, QUEENSBURY, NY 12804-9352
(518) 307-1825
Mailing address
11 THISTLEWOOD DR, QUEENSBURY, NY 12804-9352
(518) 307-1825
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2695385
NY
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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