| Word Wholeness Center | |
|
6836 E Genesee Street Suite A Fayetteville NY 13066 | |
| (315) 400-7441 | |
| Not Available |
| Full Name | Word Wholeness Center |
|---|---|
| Speciality | Psychologist |
| Location | 6836 E Genesee Street, Fayetteville, New York |
| Authorized Official Name and Position | Adekola Alao (DR) |
| Authorized Official Contact | 3154007441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Word Wholeness Center 6836 E Genesee St Ste A Fayetteville NY 13066-1024 Ph: (315) 400-7441 | Word Wholeness Center 6836 E Genesee Street Suite A Fayetteville NY 13066 Ph: (315) 400-7441 |
| NPI Number | 1457819963 |
|---|---|
| Provider Enumeration Date | 03/05/2019 |
| Last Update Date | 06/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457819963 | NPI | - | NPPES |
| 1265457196 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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