Whalio Doctors

NPI 1043729460

Samantha R McCourt, MSED

Practitioner Early Intervention Provider Agency Sparta, NJ

Practice location

Address
43 Conestoga Trail, Sparta, NJ 07871
Phone
(914) 443-0138
Mailing address
PO Box 1672 107c North Shore Point, Montague, NJ 07827

Registered specialties

Early Intervention Provider Agency Primary
Agencies Taxonomy 252Y00000X Licence 665953766 (NY)

Registry record

NPI
1043729460
Entity type
Individual
Sex (as registered)
Female
NPI issued
28 Sep 2017
Record last updated
28 Sep 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.