| Electronic Gaming Therapy, Inc | |
|
5888 Main St Williamsville NY 14221-5714 | |
| (716) 961-9435 | |
| (716) 961-9436 |
| Full Name | Electronic Gaming Therapy, Inc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 5888 Main St, Williamsville, New York |
| Authorized Official Name and Position | Drew C Messer (OWNER) |
| Authorized Official Contact | 7169619435 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Electronic Gaming Therapy, Inc 5888 Main St Williamsville NY 14221-5714 Ph: (716) 961-9435 | Electronic Gaming Therapy, Inc 5888 Main St Williamsville NY 14221-5714 Ph: (716) 961-9435 |
| NPI Number | 1073875605 |
|---|---|
| Provider Enumeration Date | 06/11/2012 |
| Last Update Date | 06/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073875605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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