Bryan R Harrison Phd Psychologist Pc | |
610 Pittsford Victor Rd Pittsford NY 14534-3934 | |
(585) 662-5552 | |
Not Available |
Full Name | Bryan R Harrison Phd Psychologist Pc |
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Speciality | Psychologist |
Location | 610 Pittsford Victor Rd, Pittsford, New York |
Authorized Official Name and Position | Bryan Harrison (OWNER/PRESIDENT) |
Authorized Official Contact | 4437569428 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bryan R Harrison Phd Psychologist Pc 610 Pittsford Victor Rd Pittsford NY 14534-3934 Ph: (585) 662-5552 | Bryan R Harrison Phd Psychologist Pc 610 Pittsford Victor Rd Pittsford NY 14534-3934 Ph: (585) 662-5552 |
NPI Number | 1710539408 |
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Provider Enumeration Date | 07/12/2019 |
Last Update Date | 07/12/2019 |
Medicare PECOS PAC ID | 3072845767 |
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Medicare Enrollment ID | O20191031000525 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710539408 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Bryan Robert Harrison |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1386099356 PECOS PAC ID: 5890027585 Enrollment ID: I20191031000814 |
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