# MARRIAGE AND FAMILY THERAPY SERVICES OF THE SOUTHERN TIER, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558701854
- **Authorized official:** DR. MELISSA DEVINCENTIS PHD, LMFT, BCBA (PRESIDENT)
- **Authorized official phone:** (607) 221-5303

## Contact information

- **Practice address:** 147 W GRAY ST, SUITE 217A, ELMIRA, NY 14901-3017
- **Practice address phone:** (607) 221-5303
- **Practice address fax:** (607) 723-9539
- **Mailing address:** 1 BRICK AVE, BINGHAMTON, NY 13901-2055
- **Mailing address phone:** (607) 760-9520
- **Mailing address fax:** (607) 723-9539

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | 1084739 | FL | — |
| 106H00000X | Marriage & Family Therapist | 000960 | NY | Yes |
| 106H00000X | Marriage & Family Therapist | MF000684 | PA | — |

## Other

- **Enumeration date:** 07/01/2013
- **Last updated:** 07/01/2013