| Tera L. Storms, Psy.d., P.c. | |
|
150 Court St Suite 1 Geneseo NY 14454-1036 | |
| (585) 301-7483 | |
| (585) 359-8055 |
| Full Name | Tera L. Storms, Psy.d., P.c. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 150 Court St, Geneseo, New York |
| Authorized Official Name and Position | Tera Lee Storms (CLINICAL PSYCHOLOGIST/PRESIDENT) |
| Authorized Official Contact | 5853017483 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tera L. Storms, Psy.d., P.c. Po Box 306 Geneseo NY 14454-0306 Ph: (585) 301-7483 | Tera L. Storms, Psy.d., P.c. 150 Court St Suite 1 Geneseo NY 14454-1036 Ph: (585) 301-7483 |
| NPI Number | 1538359021 |
|---|---|
| Provider Enumeration Date | 07/31/2007 |
| Last Update Date | 07/31/2007 |
| Medicare PECOS PAC ID | 5597851576 |
|---|---|
| Medicare Enrollment ID | O20071023000004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538359021 | NPI | - | NPPES |
| 02638379 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 016169 (New York) | Primary |
| Provider Name | Tera L Storms |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861434854 PECOS PAC ID: 4981646429 Enrollment ID: I20050525000643 |
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