| Big Tree Counseling Psycological Pllc | |
|
4828 Lakeville Road Genesco NY 14454 | |
| (585) 243-2394 | |
| (585) 243-9341 |
| Full Name | Big Tree Counseling Psycological Pllc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 4828 Lakeville Road, Genesco, New York |
| Authorized Official Name and Position | Anna M Hoier (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 5852432394 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Big Tree Counseling Psycological Pllc Po Box 356 4828 Lakeville Road Geneseo NY 14454-0356 Ph: (585) 243-2394 | Big Tree Counseling Psycological Pllc 4828 Lakeville Road Genesco NY 14454 Ph: (585) 243-2394 |
| NPI Number | 1134189616 |
|---|---|
| Provider Enumeration Date | 03/27/2006 |
| Last Update Date | 10/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134189616 | NPI | - | NPPES |
| 7352024 | Other | NY | EMPIRE |
| 115158FC | Other | NY | PREFERRED CARE |
| 02146514 | Medicaid | NY | |
| 7347503 | Other | AETNA | |
| 30014648 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | R014648 (New York) | Primary |