Stephanie L Grden, | |
27 Franklin St, Springville, NY 14141-1375 | |
(716) 592-9301 | |
(716) 592-9376 |
Full Name | Stephanie L Grden |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 27 Franklin St, Springville, 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 |
---|---|---|---|
1629669155 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | 013825 (New York) | Primary |
Entity Name | Erie County South East Corp V |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487601837 PECOS PAC ID: 9638079023 Enrollment ID: O20040112000148 |
Mailing Address | Practice Location Address |
---|---|
Stephanie L Grden, 227 Thorn Ave, Orchard Park, NY 14127-2600 Ph: (716) 662-2040 | Stephanie L Grden, 27 Franklin St, Springville, NY 14141-1375 Ph: (716) 592-9301 |
Nicole Kaus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 27 Franklin St, Springville, NY 14141 Phone: 716-592-9301 Fax: 716-592-9376 | |
Jenna Howe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 27 Franklin St, Springville, NY 14141 Phone: 716-592-9301 Fax: 716-592-9376 | |
Tanya Kelly, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7395 Genesee Rd, Springville, NY 14141 Phone: 716-348-9008 | |
Alicia Kaufman, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 27 Franklin St, Springville, NY 14141 Phone: 716-592-9301 Fax: 716-592-9376 | |
Katrina Sebzda, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13648 S Vaughn St, Springville, NY 14141 Phone: 716-946-5647 | |
Amanda Rae Leone, LMHC, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 27 Franklin St, Springville, NY 14141 Phone: 716-592-9301 Fax: 716-592-9376 | |
Tammy Lyn Davis, Counselor Medicare: Medicare Enrolled Practice Location: 27 Franklin St, Springville, NY 14141 Phone: 716-592-9301 Fax: 716-592-9376 |