MEDICARE: DR. EMILY GARROD PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	011528-1	NY

General Provider Information

NPI Number	:	1942367669
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMILY GARROD PH.D.

Provider Business Mailing Address
First Line	:	10 HERBERT ST
Second Line	:
City	:	BEACON
State	:	NY
Zip	:	12508-2832
Country	:	US
Telephone Number	:	845-440-7679
Fax Number	:

Provider Business Practice Location Address
First Line	:	850 7TH AVE
Second Line	:	SUITE 906
City	:	NEW YORK
State	:	NY
Zip	:	10019-5230
Country	:	US
Telephone Number	:	212-774-7475
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	07/08/2007

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