THERESA M COVINGTON

MATTYDALE, NY
NPI1952470635
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: NY  012316)
Additional Taxonomies103G00000X Clinical Neuropsychologist
(Licence: CT  CT002407)
Enumeration Date2006-11-07
Last Update Date2014-01-28
Business Address
-- THERESA M COVINGTON Ph.D.
2605 BREWERTON RD
MATTYDALE, NY 13211-1147
Phone number: 315-935-3037
Mailing Address
-- THERESA M COVINGTON Ph.D.
PO BOX 58
BALDWINSVILLE, NY 13027-0058
Phone number: 315-935-3037