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Organization

RAYMOND A. BODENSEICK PSY.D. PLLC

Active
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Organization

RAYMOND A. BODENSEICK PSY.D. PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAYMOND ALAN BODENSIECK PSY.D. (OWNER)
(518) 383-7793
Entity
Organization

Contact information

Practice address
634 PLANK RD, SUITE 201, CLIFTON PARK, NY 12065-2019
(518) 383-7793
(518) 383-7793
Mailing address
634 PLANK RD, SUITE 201, CLIFTON PARK, NY 12065-2019
(518) 383-7793
(518) 383-7793

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
010453
NY

Other

Enumeration date
12/24/2009
Last updated
12/24/2009
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