| Bluebird Teleshrink | |
|
4087 Tonawanda Creek Rd North Tonawanda NY 14120-9505 | |
| (716) 698-7097 | |
| Not Available |
| Full Name | Bluebird Teleshrink |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 4087 Tonawanda Creek Rd, North Tonawanda, New York |
| Authorized Official Name and Position | Kimberly Silla (PRESIDENT) |
| Authorized Official Contact | 7166987097 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluebird Teleshrink Po Box 206 Amherst NY 14226-0206 Ph: (716) 698-7097 | Bluebird Teleshrink 4087 Tonawanda Creek Rd North Tonawanda NY 14120-9505 Ph: (716) 698-7097 |
| NPI Number | 1851987341 |
|---|---|
| Provider Enumeration Date | 12/18/2020 |
| Last Update Date | 12/18/2020 |
| Certification Date | 12/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851987341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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