Healthcare Provider Details
I. General information
NPI: 1760722664
Provider Name (Legal Business Name): NANCY ANN MARMET PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/01/2013
Last Update Date: 03/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 FOREST DR PUPIL SERVICES OFFICE
ALBANY NY
12205-2508
US
IV. Provider business mailing address
100 FOREST DR PUPIL SERVICES OFFICE
ALBANY NY
12205-2508
US
V. Phone/Fax
- Phone: 518-869-6759
- Fax: 518-869-0573
- Phone: 518-869-6759
- Fax: 518-869-0573
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TS0200X |
| Taxonomy | School Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: