| Karen Chesnutt, Inc | |
|
5820 Main St Suite 610 Williamsville NY 14221-5776 | |
| (716) 633-5782 | |
| (716) 639-1537 |
| Full Name | Karen Chesnutt, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 5820 Main St, Williamsville, New York |
| Authorized Official Name and Position | Karen W. Chesnutt (PRESIDENT) |
| Authorized Official Contact | 7166335782 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Karen Chesnutt, Inc 5820 Main St Suite 610 Williamsville NY 14221-5776 Ph: (716) 633-5782 | Karen Chesnutt, Inc 5820 Main St Suite 610 Williamsville NY 14221-5776 Ph: (716) 633-5782 |
| NPI Number | 1528100468 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528100468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 08888-1 (New York) | Primary |
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