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Contact Information

ELISABETH A MOUGHTY, PSY.D.
7000 E GENESEE ST BLDG B
FAYETTEVILLE, NY13066-1131
 Phone: 315-391-8500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
 

Health

103TH0004X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ELISABETH A MOUGHTY · (Female)

NPI Number 1851535439
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 04/27/2009
Last updated 04/09/2026 - About 2 months ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 017936-1
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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