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ELECTRONIC GAMING THERAPY INC NPI 1073875605


NPI Information

NPI: 1073875605
Provider Name: ELECTRONIC GAMING THERAPY, INC
Classification: Psychologist - 103TC2200X
Entity Type: Organization

Specialization: Clinical Child & Adolescent

Address:
5888 MAIN ST
WILLIAMSVILLE, NY
ZIP 14221
Phone: (716) 961-9435
Get Directions

ELECTRONIC GAMING THERAPY, INC is a clinical child and adolescent psychologist in Williamsville, NY. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. ELECTRONIC GAMING THERAPY, INC NPI is 1073875605. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5888 MAIN ST
WILLIAMSVILLE, NY
ZIP 14221-714
Phone: (716) 961-9435
Fax: (716) 961-9436

The provider's authorized official is Drew C Messer .
The authorized official title is Owner and has the following contact phone number (716) 961-9435.

The enumeration date for this NPI number is 6/11/2012 and was last updated on 6/11/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalNo
2103TC2200XPsychologistClinical Child & AdolescentYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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