Doctor Name: | MRS. CORINNA G SCOZZARO |
NPI Number: | 1043572779 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 159 Joseph Dr Tonawanda, NY - 141506223 |
Business Phone Number: | 7166951464 |
Business Fax Number: | |
Mailing Address: | 159 Joseph Drive, TONAWANDA |
State: | NY |
Postal Code: | 14150 |
Phone Number: | 7166951464 |
Fax Number: | |
NPI Enumeration Date: | 06/08/2012 |
NPI Last Update Date: | 06/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |