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PRESENCE PSYCHOLOGY LMSW PT OT AND SLP SERVICES PLLC NPI 1538688924


NPI Information

NPI: 1538688924
Provider Name: PRESENCE PSYCHOLOGY, LMSW, PT, OT AND SLP SERVICES, PLLC

Doing Business As: PRESENCE DEVELOPMENTAL SERVICES

Classification: Psychologist - 103TM1800X
Entity Type: Organization

Specialization: Intellectual and Developmental Disabilities

Address:
115 FALL ST
SENECA FALLS, NY
ZIP 13148
Phone: (315) 515-5183
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PRESENCE PSYCHOLOGY, LMSW, PT, OT AND SLP SERVICES, PLLC is an intellectual and developmental disabilities in Seneca Falls, NY. PRESENCE PSYCHOLOGY, LMSW, PT, OT AND SLP SERVICES, PLLC NPI is 1538688924. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Presence Developmental Services.

The provider's business location address is:

115 FALL ST
SENECA FALLS, NY
ZIP 13148-498
Phone: (315) 515-5183
Fax: (315) 515-5194

The provider's authorized official is David C Sealy .
The authorized official title is Managing Member and has the following contact phone number (315) 515-5183.

The enumeration date for this NPI number is 9/17/2017 and was last updated on 11/14/2023.


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
1225100000XPhysical Therapist020699-1NEW YORKNo
2225X00000XOccupational TherapistNo
3235Z00000XSpeech-Language PathologistNo
4103TM1800XPsychologistIntellectual and Developmental Disabilities020001-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
105438899MEDICAIDNEW YORK

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: 4/28/2024

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