| Timothy P. Hayes, Ph.d., Clinical Psychologist, P.c. | |
|
315 S Crouse Ave Suite 301 Syracuse NY 13210-1845 | |
| (315) 422-1722 | |
| (315) 422-1741 |
| Full Name | Timothy P. Hayes, Ph.d., Clinical Psychologist, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 315 S Crouse Ave, Syracuse, New York |
| Authorized Official Name and Position | Timothy P. Hayes (PRESIDENT) |
| Authorized Official Contact | 3154221722 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy P. Hayes, Ph.d., Clinical Psychologist, P.c. 315 S Crouse Ave Suite 301 Syracuse NY 13210-1845 Ph: (315) 422-1722 | Timothy P. Hayes, Ph.d., Clinical Psychologist, P.c. 315 S Crouse Ave Suite 301 Syracuse NY 13210-1845 Ph: (315) 422-1722 |
| NPI Number | 1114127958 |
|---|---|
| Provider Enumeration Date | 07/19/2007 |
| Last Update Date | 02/22/2008 |
| Medicare PECOS PAC ID | 2769577998 |
|---|---|
| Medicare Enrollment ID | O20071003000606 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114127958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 012381 (New York) | Primary |
| Provider Name | Tim P Hayes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619087087 PECOS PAC ID: 3173517943 Enrollment ID: I20040413001795 |
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