Theresa M Covington PH.D.

NPI 1952470635 - Clinical Neuropsychologist - 103G00000X

NPI Details
NPI 1952470635
Gender Female
Enumeration Date 11/07/2006
Last Updated 01/28/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
2605 BREWERTON RD
MATTYDALE NY, 13211-1147, US
Phone (315) 935-3037
Fax (315) 295-2614
Business Location
PO BOX 58
BALDWINSVILLE NY, 13027-0058, US
Phone (315) 935-3037
Fax (315) 295-2614
Toxanomy
Taxonomy Code 103G00000X
License State Connecticut
License Number CT002407
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According to our database, Theresa M Covington PH.D. NPI is 1952470635, taxonomy code is 103G00000X and license number is CT002407, license state is located at Connecticut. Theresa M Covington PH.D. physically located at 2605 Brewerton Rd, Mattydale NY, 13211-1147. NPI Number Theresa M Covington PH.D. has the Individual type.

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1952470635 NPI number is provided on an as is basis without warranty of any kind. 1952470635 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa M Covington PH.D. are for informational purposes only.