| Kathleen S. Lewandowski Psychological Services, P.c. | |
|
3180 West St Canandaigua NY 14424-1722 | |
| (585) 394-1442 | |
| (585) 394-1257 |
| Full Name | Kathleen S. Lewandowski Psychological Services, P.c. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3180 West St, Canandaigua, New York |
| Authorized Official Name and Position | Marilyn Rennie (OFFICE MANAGER) |
| Authorized Official Contact | 5853941442 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen S. Lewandowski Psychological Services, P.c. 3180 West St Canandaigua NY 14424-1722 Ph: (585) 394-1442 | Kathleen S. Lewandowski Psychological Services, P.c. 3180 West St Canandaigua NY 14424-1722 Ph: (585) 394-1442 |
| NPI Number | 1841455151 |
|---|---|
| Provider Enumeration Date | 07/25/2008 |
| Last Update Date | 08/21/2008 |
| Medicare PECOS PAC ID | 8224102918 |
|---|---|
| Medicare Enrollment ID | O20080729000509 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841455151 | NPI | - | NPPES |
| 01239436 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 010662-1 (New York) | Primary |
| Provider Name | Kathleen S Lewandowski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205896313 PECOS PAC ID: 2769556547 Enrollment ID: I20080729000330 |
Ontario County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3019 County Complex Dr, Canandaigua, NY 14424 Phone: 585-396-4363 Fax: 585-396-4993 | |
John C Marino, Md Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3180 West St, Canandaigua, NY 14424 Phone: 585-394-1442 Fax: 585-394-1257 | |
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