Narrimone Vivid Thammavongsa, M.A.T., Ed.S., NCSP
Psychologist, School in Scranton, PA. Individual provider (NPI-1).
NPI number1982289922
StatusActive
Last updated in NPPESMar 11, 2021
Details
- NPI
- 1982289922
- Entity type
- Individual (NPI-1)
- Name
- Narrimone Vivid Thammavongsa
- Credential
- M.A.T., Ed.S., NCSP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 11, 2021
- Certification date
- Mar 11, 2021
- Last updated
- Mar 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TS0200X | Psychologist, School | – | – | Yes |
Practice location
1307 Rundle StScranton, PA 18504-2912
Phone 215-879-1291
Mailing address
1307 Rundle StScranton, PA 18504-2912
Phone 215-879-1291
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