| Richard W Raney Phd Psychologist Pc | |
|
107 Genesee St New Hartford NY 13413-2323 | |
| (315) 738-0393 | |
| (315) 738-1176 |
| Full Name | Richard W Raney Phd Psychologist Pc |
|---|---|
| Speciality | Psychologist |
| Location | 107 Genesee St, New Hartford, New York |
| Authorized Official Name and Position | Richard Wilton Raney (OWNER) |
| Authorized Official Contact | 3157380393 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard W Raney Phd Psychologist Pc 107 Genesee St New Hartford NY 13413-2323 Ph: (315) 738-0393 | Richard W Raney Phd Psychologist Pc 107 Genesee St New Hartford NY 13413-2323 Ph: (315) 738-0393 |
| NPI Number | 1609107242 |
|---|---|
| Provider Enumeration Date | 01/21/2010 |
| Last Update Date | 01/21/2010 |
| Medicare PECOS PAC ID | 6204014657 |
|---|---|
| Medicare Enrollment ID | O20110707000162 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609107242 | NPI | - | NPPES |
| 01047814 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 009216-1 (New York) | Primary |
| Provider Name | Richard W Raney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972530376 PECOS PAC ID: 4981773157 Enrollment ID: I20080514000778 |
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