Wellsville Wellness Psychological | |
118 N Main St Wellsville NY 14895-1251 | |
(585) 340-7011 | |
Not Available |
Full Name | Wellsville Wellness Psychological |
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Speciality | Psychologist |
Location | 118 N Main St, Wellsville, New York |
Authorized Official Name and Position | Andrea Ryan Burch (PRESIDENT) |
Authorized Official Contact | 5854664711 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wellsville Wellness Psychological 118 N Main St Wellsville NY 14895-1251 Ph: (585) 340-7011 | Wellsville Wellness Psychological 118 N Main St Wellsville NY 14895-1251 Ph: (585) 340-7011 |
NPI Number | 1629700539 |
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Provider Enumeration Date | 06/29/2022 |
Last Update Date | 09/12/2022 |
Certification Date | 09/12/2022 |
Medicare PECOS PAC ID | 7113396722 |
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Medicare Enrollment ID | O20221202002132 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629700539 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Andrea R Burch |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1699915470 PECOS PAC ID: 2961721410 Enrollment ID: I20150505000377 |
Provider Name | Elizabeth M Shea |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1679912448 PECOS PAC ID: 9931578549 Enrollment ID: I20221202002198 |
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