| Brockport Marriage & Family Therapy, P.c. | |
|
2 Main St Brockport NY 14420-1937 | |
| (585) 395-0091 | |
| (585) 395-0092 |
| Full Name | Brockport Marriage & Family Therapy, P.c. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2 Main St, Brockport, New York |
| Authorized Official Name and Position | Jennifer H. King (OWNER) |
| Authorized Official Contact | 5853950091 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brockport Marriage & Family Therapy, P.c. 2 Main St Brockport NY 14420-1937 Ph: (585) 395-0091 | Brockport Marriage & Family Therapy, P.c. 2 Main St Brockport NY 14420-1937 Ph: (585) 395-0091 |
| NPI Number | 1134427834 |
|---|---|
| Provider Enumeration Date | 03/03/2011 |
| Last Update Date | 03/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134427834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 0007911 (New York) | Primary |
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