Kathryn Mirra, PHD Valid NPI
Individual provider · Clinical Neuropsychologist · Manhasset, NY
- NPI
- 1720373657
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Neuropsychologist
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103G00000X
- License number
- 020150 (NY)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2011-06-20
- Last updated
- 2023-07-27
Practice location
1554 Northern Blvd Fl 3
Manhasset, NY 11030-3054
(516) 719-3700