| Cayuga Comprehensive Psychological Services, Pc | |
|
118 N Tioga St Ste 302 Ithaca NY 14850-4343 | |
| (607) 273-6946 | |
| (607) 256-1680 |
| Full Name | Cayuga Comprehensive Psychological Services, Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 118 N Tioga St Ste 302, Ithaca, New York |
| Authorized Official Name and Position | Jed H. Weitzen (OWNER) |
| Authorized Official Contact | 6072736946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cayuga Comprehensive Psychological Services, Pc 118 N Tioga St Ste 302 Ithaca NY 14850-4343 Ph: (607) 273-6946 | Cayuga Comprehensive Psychological Services, Pc 118 N Tioga St Ste 302 Ithaca NY 14850-4343 Ph: (607) 273-6946 |
| NPI Number | 1528572237 |
|---|---|
| Provider Enumeration Date | 11/17/2017 |
| Last Update Date | 11/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528572237 | NPI | - | NPPES |
| 1497804900 | Other | NY | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 8507 (New York) | Primary |
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