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Organization
ELECTRONIC GAMING THERAPY, INC
Active
Organization
ELECTRONIC GAMING THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DREW C MESSER PH.D (OWNER)
(716) 961-9435
Entity
Organization
Contact information
Practice address
5888 MAIN ST, WILLIAMSVILLE, NY 14221-5714
(716) 961-9435
(716) 961-9436
Mailing address
5888 MAIN ST, WILLIAMSVILLE, NY 14221-5714
(716) 961-9435
(716) 961-9436
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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