Doctor Name: | DR. CAROL ATWATER |
NPI Number: | 1144377862 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 011449 |
Business Practice Address: | 945 Route 146 Clifton Park, NY - 120653649 |
Business Phone Number: | 5183838889 |
Business Fax Number: | 5183838881 |
Mailing Address: | 945 Route 146, CLIFTON PARK |
State: | NY |
Postal Code: | 120653649 |
Phone Number: | 5183838889 |
Fax Number: | 5183838881 |
NPI Enumeration Date: | 01/04/2007 |
NPI Last Update Date: | 05/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 011449 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |