Healthcare Provider Details
I. General information
NPI: 1386975647
Provider Name (Legal Business Name): RENEE CHRISTINE ESCHMANN PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/26/2010
Last Update Date: 01/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
194 GARTH RD TL
SCARSDALE NY
10583-3867
US
IV. Provider business mailing address
194 GARTH RD TL
SCARSDALE NY
10583-3867
US
V. Phone/Fax
- Phone: 914-772-8650
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | 018235-1 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: