| Psychological Services Of Wny Pllc | |
|
84 Lake St Hamburg NY 14075-4834 | |
| (716) 422-0054 | |
| Not Available |
| Full Name | Psychological Services Of Wny Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 84 Lake St, Hamburg, New York |
| Authorized Official Name and Position | Kimberly Diane Franklin (CLINICAL PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 7164220054 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Services Of Wny Pllc 84 Lake St Hamburg NY 14075-4834 Ph: (716) 422-0054 | Psychological Services Of Wny Pllc 84 Lake St Hamburg NY 14075-4834 Ph: (716) 422-0054 |
| NPI Number | 1851802292 |
|---|---|
| Provider Enumeration Date | 10/12/2017 |
| Last Update Date | 10/05/2024 |
| Certification Date | 10/05/2024 |
| Medicare PECOS PAC ID | 6800321233 |
|---|---|
| Medicare Enrollment ID | O20241122000394 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851802292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 022061 (New York) | Primary |
| Provider Name | Kimberly Franklin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285656488 PECOS PAC ID: 7618402041 Enrollment ID: I20241122000512 |
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