| Lee M. Faver Phd Psychologist Pc | |
|
12 Radcliffe Rd Buffalo NY 14214-1221 | |
| (716) 553-3319 | |
| Not Available |
| Full Name | Lee M. Faver Phd Psychologist Pc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 12 Radcliffe Rd, Buffalo, New York |
| Authorized Official Name and Position | Lee Mitch Faver (PRESIDENT; LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 7165533319 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lee M. Faver Phd Psychologist Pc 12 Radcliffe Rd Buffalo NY 14214-1221 Ph: (716) 553-3319 | Lee M. Faver Phd Psychologist Pc 12 Radcliffe Rd Buffalo NY 14214-1221 Ph: (716) 553-3319 |
| NPI Number | 1073510384 |
|---|---|
| Provider Enumeration Date | 06/30/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073510384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 011953 (New York) | Primary |
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