Mcbride Psychological Services, Pllc | |
84 Sweeney St Ste C3 North Tonawanda NY 14120-5822 | |
(716) 296-4745 | |
Not Available |
Full Name | Mcbride Psychological Services, Pllc |
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Speciality | Psychologist |
Location | 84 Sweeney St Ste C3, North Tonawanda, New York |
Authorized Official Name and Position | Christine Mcbride (OWNER) |
Authorized Official Contact | 7162964745 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mcbride Psychological Services, Pllc 84 Sweeney St Ste C3 North Tonawanda NY 14120-5822 Ph: (716) 296-4745 | Mcbride Psychological Services, Pllc 84 Sweeney St Ste C3 North Tonawanda NY 14120-5822 Ph: (716) 296-4745 |
NPI Number | 1013796655 |
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Provider Enumeration Date | 09/25/2023 |
Last Update Date | 09/25/2023 |
Certification Date | 09/23/2023 |
Medicare PECOS PAC ID | 6901243971 |
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Medicare Enrollment ID | O20240326002684 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013796655 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Christine M Mcbride |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1437565785 PECOS PAC ID: 0345501441 Enrollment ID: I20180307000447 |
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