| Psychological & Family Services | |
|
500 N Mcbride St Syracuse NY 13203-1913 | |
| (315) 472-9042 | |
| (315) 472-9065 |
| Full Name | Psychological & Family Services |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 500 N Mcbride St, Syracuse, New York |
| Authorized Official Name and Position | Jerome Rene Wilett (OWNER) |
| Authorized Official Contact | 3154729042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological & Family Services 500 N Mcbride St Syracuse NY 13203-1913 Ph: (315) 472-9042 | Psychological & Family Services 500 N Mcbride St Syracuse NY 13203-1913 Ph: (315) 472-9042 |
| NPI Number | 1821257460 |
|---|---|
| Provider Enumeration Date | 06/09/2008 |
| Last Update Date | 07/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821257460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 005499-1 (New York) | Primary |
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