Wellness Psychological Services, P.c. | |
2614 Genesee St Utica NY 13502-6003 | |
(315) 794-9962 | |
Not Available |
Full Name | Wellness Psychological Services, P.c. |
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Speciality | Psychologist |
Location | 2614 Genesee St, Utica, New York |
Authorized Official Name and Position | Raymond A. Bepko (PRESIDENT) |
Authorized Official Contact | 3157949962 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wellness Psychological Services, P.c. 2614 Genesee St Utica NY 13502-6003 Ph: (315) 794-9962 | Wellness Psychological Services, P.c. 2614 Genesee St Utica NY 13502-6003 Ph: (315) 794-9962 |
NPI Number | 1982069985 |
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Provider Enumeration Date | 12/18/2015 |
Last Update Date | 12/18/2015 |
Medicare PECOS PAC ID | 1052349842 |
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Medicare Enrollment ID | O20160212000769 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982069985 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 007918 (New York) | Primary |
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