| Sphere Psychological Services | |
|
2520 Genesee St Fl 2 Utica NY 13502-5814 | |
| (315) 941-5170 | |
| (315) 533-4377 |
| Full Name | Sphere Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 2520 Genesee St Fl 2, Utica, New York |
| Authorized Official Name and Position | Heather Lester (SOLE PROPRIETOR) |
| Authorized Official Contact | 3159415170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sphere Psychological Services 2520 Genesee St Fl 2 Utica NY 13502-5814 Ph: (315) 941-5170 | Sphere Psychological Services 2520 Genesee St Fl 2 Utica NY 13502-5814 Ph: (315) 941-5170 |
| NPI Number | 1144886201 |
|---|---|
| Provider Enumeration Date | 05/14/2019 |
| Last Update Date | 05/14/2019 |
| Medicare PECOS PAC ID | 5496089781 |
|---|---|
| Medicare Enrollment ID | O20190619003427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144886201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Heather L Lester |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174793939 PECOS PAC ID: 9931278199 Enrollment ID: I20080514000738 |
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