| Raymond A. Bodenseick Psy.d. Pllc | |
|
634 Plank Rd Suite 201 Clifton Park NY 12065-2019 | |
| (518) 383-7793 | |
| (518) 383-7793 |
| Full Name | Raymond A. Bodenseick Psy.d. Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 634 Plank Rd, Clifton Park, New York |
| Authorized Official Name and Position | Raymond Alan Bodensieck (OWNER) |
| Authorized Official Contact | 5183837793 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raymond A. Bodenseick Psy.d. Pllc 634 Plank Rd Suite 201 Clifton Park NY 12065-2019 Ph: (518) 383-7793 | Raymond A. Bodenseick Psy.d. Pllc 634 Plank Rd Suite 201 Clifton Park NY 12065-2019 Ph: (518) 383-7793 |
| NPI Number | 1508195421 |
|---|---|
| Provider Enumeration Date | 12/24/2009 |
| Last Update Date | 12/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508195421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 010453 (New York) | Primary |
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