Provider Demographics
NPI:1033359666
Name:SINDONE, MARILYN ANN (MS, NCSP)
Entity Type:Individual
Prefix:MRS
First Name:MARILYN
Middle Name:ANN
Last Name:SINDONE
Suffix:
Gender:F
Credentials:MS, NCSP
Other - Prefix:MISS
Other - First Name:MARILYN
Other - Middle Name:ANN
Other - Last Name:KORTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, NCSP
Mailing Address - Street 1:6296 FLY RD
Mailing Address - Street 2:
Mailing Address - City:EAST SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13057-9333
Mailing Address - Country:US
Mailing Address - Phone:315-701-5710
Mailing Address - Fax:315-701-5711
Practice Address - Street 1:6296 FLY RD
Practice Address - Street 2:
Practice Address - City:EAST SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13057-9333
Practice Address - Country:US
Practice Address - Phone:315-701-5710
Practice Address - Fax:315-701-5711
Is Sole Proprietor?:No
Enumeration Date:2009-02-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool