| Chautauqua County Mental Hygiene | |
|
2 Academy St Rm 201 Mayville NY 14757-1050 | |
| (716) 753-4104 | |
| (716) 753-4230 |
| Full Name | Chautauqua County Mental Hygiene |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 2 Academy St Rm 201, Mayville, New York |
| Authorized Official Name and Position | Rochelle Von Hof (CHILDREN'S SPOA) |
| Authorized Official Contact | 7166618857 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chautauqua County Mental Hygiene 2 Academy St Rm 201 Mayville NY 14757-1050 Ph: (716) 753-4104 | Chautauqua County Mental Hygiene 2 Academy St Rm 201 Mayville NY 14757-1050 Ph: (716) 753-4104 |
| NPI Number | 1861032575 |
|---|---|
| Provider Enumeration Date | 01/10/2020 |
| Last Update Date | 01/10/2020 |
| Certification Date | 01/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861032575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |