| Buffalo Behavioral Psychology, Pc | |
|
2813 Wehrle Dr Suite 11 Williamsville NY 14221-7384 | |
| (716) 634-0627 | |
| (716) 634-0746 |
| Full Name | Buffalo Behavioral Psychology, Pc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 2813 Wehrle Dr, Williamsville, New York |
| Authorized Official Name and Position | Jessica Englert (PRESIDENT) |
| Authorized Official Contact | 7166340627 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Buffalo Behavioral Psychology, Pc 2813 Wehrle Dr Suite 11 Williamsville NY 14221-7384 Ph: (716) 634-0627 | Buffalo Behavioral Psychology, Pc 2813 Wehrle Dr Suite 11 Williamsville NY 14221-7384 Ph: (716) 634-0627 |
| NPI Number | 1316313265 |
|---|---|
| Provider Enumeration Date | 08/14/2015 |
| Last Update Date | 09/14/2015 |
| Medicare PECOS PAC ID | 0143539734 |
|---|---|
| Medicare Enrollment ID | O20151022000081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316313265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 68 018671 (New York) | Primary |
| Provider Name | Jessica J Englert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376852715 PECOS PAC ID: 7810177946 Enrollment ID: I20120705000156 |
| Provider Name | Bonnie Jo Woods |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619251949 PECOS PAC ID: 8426349689 Enrollment ID: I20190125001396 |
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