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Contact Information

LIVINGSTON COUNTY
4600 MILLENNIUM DR
GENESEO, NY14454-1197
 Phone: 585-243-7250
 Fax: 585-243-7264
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LIVINGSTON COUNTY · (Female)

NPI Number 1578656302
Status Active
Credentials
Entity Individual
Enumeration date 10/02/2006
Last updated 07/31/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY Medicaid 00357960
  • NY Medicaid 01662211
  • NY Other LM BCBS INDEM PROV NUMBER
  • NY Other 014006252 BCBS PROVIDER NUMBER
  • NY Other 103061EU PREF CARE PROVIDER NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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