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Contact Information

WORD WELLNESS CENTER, LLC
6836 E GENESEE STREET
SUITE A
FAYETTEVILLE, NY13066
 Phone: 315-400-7441
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for WORD WELLNESS CENTER LLC · (Female)

NPI Number 1457819963
Status Active
Credentials
Entity Individual
Enumeration date 03/05/2019
Last updated 06/24/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY Medicaid 1265457196
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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