Individual
DR. MARICE PAPPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
55 WILLOW RD, QUEENSBURY, NY 12804-1241
(518) 798-1159
(518) 792-1970
Mailing address
55 WILLOW RD, QUEENSBURY, NY 12804-1241
(518) 798-1159
(518) 792-1970
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
NYS 004500
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004500
NYS PSYCHOLOGY LICENSE
NY
05
—
01449921
—
NY
Enumeration date
02/11/2006
Last updated
10/07/2011
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