| Alancatkinsonphdpsychologistpc | |
|
5784 Main St Williamsville NY 14221-5702 | |
| (716) 633-6863 | |
| (716) 633-9106 |
| Full Name | Alancatkinsonphdpsychologistpc |
|---|---|
| Speciality | Psychologist |
| Location | 5784 Main St, Williamsville, New York |
| Authorized Official Name and Position | Alan C Atkinson (PRESIDENT) |
| Authorized Official Contact | 7166336863 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alancatkinsonphdpsychologistpc 5784 Main St Williamsville NY 14221-5702 Ph: (716) 633-6863 | Alancatkinsonphdpsychologistpc 5784 Main St Williamsville NY 14221-5702 Ph: (716) 633-6863 |
| NPI Number | 1972547792 |
|---|---|
| Provider Enumeration Date | 06/15/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8123036753 |
|---|---|
| Medicare Enrollment ID | O20060323000489 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972547792 | NPI | - | NPPES |
| 00020550102 | Other | NY | UNIVERA PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 7523-1 (New York) | Primary |
| Provider Name | Alan C Atkinson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730122391 PECOS PAC ID: 6204844830 Enrollment ID: I20060323000506 |
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