| Mb Psychology Pllc | |
|
40 Gardenville Pkwy Ste 112 West Seneca NY 14224-1387 | |
| (716) 794-4054 | |
| (716) 794-4054 |
| Full Name | Mb Psychology Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 40 Gardenville Pkwy Ste 112, West Seneca, New York |
| Authorized Official Name and Position | Melissa Bergquist, L Bergquist (OWNER) |
| Authorized Official Contact | 7164816259 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mb Psychology Pllc 40 Gardenville Pkwy Ste 112 West Seneca NY 14224-1387 Ph: (716) 794-4054 | Mb Psychology Pllc 40 Gardenville Pkwy Ste 112 West Seneca NY 14224-1387 Ph: (716) 794-4054 |
| NPI Number | 1578246690 |
|---|---|
| Provider Enumeration Date | 08/08/2023 |
| Last Update Date | 08/08/2023 |
| Certification Date | 08/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578246690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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