Michael Reardon, LMHC | |
987 Rc Hoag Drive, Lionel R John Health Center, Salamanca, NY 14779-1365 | |
(716) 945-9001 | |
(716) 945-0790 |
Full Name | Michael Reardon |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 987 Rc Hoag Drive, Lionel R John Health Center, Salamanca, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861939100 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 000706 (New York) | Primary |
Entity Name | Seneca Nation Of Indians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023033511 PECOS PAC ID: 8123920592 Enrollment ID: O20040126000146 |
Mailing Address | Practice Location Address |
---|---|
Michael Reardon, LMHC 987 Rc Hoag Drive, Lionel R John Health Center, Salamanca, NY 14779-1365 Ph: (716) 945-9001 | Michael Reardon, LMHC 987 Rc Hoag Drive, Lionel R John Health Center, Salamanca, NY 14779-1365 Ph: (716) 945-9001 |
Holly Goddard, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 97 Main St, Salamanca, NY 14779 Phone: 716-945-5211 Fax: 716-945-5267 | |
Kathryne M Coric, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 97 Main St, Salamanca, NY 14779 Phone: 716-945-5211 Fax: 716-945-5267 | |
Anthony Rovito Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 987 R C Hoag Dr, Behavioral Health Unit, Salamanca, NY 14779 Phone: 716-945-9001 Fax: 716-945-0790 | |
Victoria Florence Petherick, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 987 R C Hoag Dr, Salamanca, NY 14779 Phone: 716-945-5894 Fax: 716-242-6345 | |
Joshua Dry, Counselor Medicare: Medicare Enrolled Practice Location: 97 Main St, Salamanca, NY 14779 Phone: 716-945-5211 Fax: 716-945-5267 | |
Amanda Bishop, MSED. CASACT Counselor Medicare: Not Enrolled in Medicare Practice Location: 987 R C Hoag Dr, Salamanca, NY 14779 Phone: 716-945-9001 Fax: 716-945-0790 | |
Kimberly L Leight, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 97 Main St, Salamanca, NY 14779 Phone: 716-945-5211 Fax: 716-945-5267 |