Psychological Services for Self and Family, Pllc

NPI #1417260571 in Fayetteville, New York

Provider Information

NPI Number: 1417260571
Entity Type: Organization
Organization Name: Psychological Services for Self and Family, Pllc
Primary Specialty: Psychologist
Enumeration Date: Jul 19, 2010
Last Updated: Jul 19, 2010

Practice Location

Address: 523 E GENESEE ST
City: Fayetteville
State: New York
ZIP Code: 13066-1536
Phone: (315) 637-9131

Authorized Official

Name: PAUL M. COHEN, PH.D.
Title: OWNER
Phone: (315) 637-9131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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