Provider Demographics
NPI:1992054381
Name:STYNES, DEIRDRE (MS ED, TVI)
Entity type:Individual
Prefix:MRS
First Name:DEIRDRE
Middle Name:
Last Name:STYNES
Suffix:
Gender:F
Credentials:MS ED, TVI
Other - Prefix:MS
Other - First Name:DEIRDRE
Other - Middle Name:
Other - Last Name:MATTHEWS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3 DUDLEY AVE
Mailing Address - Street 2:
Mailing Address - City:COHOES
Mailing Address - State:NY
Mailing Address - Zip Code:12047-1801
Mailing Address - Country:US
Mailing Address - Phone:518-209-3701
Mailing Address - Fax:
Practice Address - Street 1:597 3RD AVE
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12182-2509
Practice Address - Country:US
Practice Address - Phone:518-233-0544
Practice Address - Fax:518-233-0703
Is Sole Proprietor?:No
Enumeration Date:2012-08-31
Last Update Date:2012-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist