Individual
DR. MATTHEW AMORE RASO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
12 CENTURY HILL DR, LATHAM, NY 12110-2123
(518) 302-2812
(518) 309-6593
Mailing address
50 CENTURY DR, BALLSTON SPA, NY 12020-4224
(518) 368-3462
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
019522-1
NY
103TS0200X
School Psychologist
019522-1
NY
Other
Enumeration date
05/24/2012
Last updated
11/30/2018
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