Individual
SAMANTHA JO PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAS, NCSP
Contact information
Practice address
70 KUKUK LN, KINGSTON, NY 12401-6943
(845) 336-2616
Mailing address
70 KUKUK LN, KINGSTON, NY 12401-6943
(845) 336-2616
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2860791
NY
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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