Ellen D. S. Fuqua MS, CAS

NPI 1295048775 - Psychologist - 103TS0200X

NPI Details
NPI 1295048775
Gender Female
Enumeration Date 07/26/2010
Last Updated 07/26/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
2395 ROUTE 23B
EARLY CHILDHOOD LEARNING CENTER OF GREENE COUNTY
SOUTH CAIRO NY, 12482-1220, US
Phone (518) 622-8382
Fax
Business Location
2395 ROUTE 23B
EARLY CHILDHOOD LEARNING CENTER OF GREENE COUNTY
SOUTH CAIRO NY, 12482-1220, US
Phone (518) 622-8382
Fax
Toxanomy
Taxonomy Code 103TS0200X
License State New York
License Number 539948
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According to our database, Ellen D. S. Fuqua MS, CAS NPI is 1295048775, taxonomy code is 103TS0200X and license number is 539948, license state is located at New York. Ellen D. S. Fuqua MS, CAS physically located at 2395 Route 23b, South Cairo NY, 12482-1220. NPI Number Ellen D. S. Fuqua MS, CAS has the Individual type.

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1295048775 NPI number is provided on an as is basis without warranty of any kind. 1295048775 is maintained by the National Plan & Provider Enumeration System. The contents of Ellen D. S. Fuqua MS, CAS are for informational purposes only.