Individual
NARRIMONE VIVID THAMMAVONGSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.T., ED.S., NCSP
Contact information
Practice address
1307 RUNDLE ST, SCRANTON, PA 18504-2912
(215) 879-1291
Mailing address
1307 RUNDLE ST, SCRANTON, PA 18504-2912
(215) 879-1291
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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