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Organization
PORT CITY PSYCHOTHERAPY AND PSYCHOLOGICAL SERVICES
Active
Organization
PORT CITY PSYCHOTHERAPY AND PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BROOKS B GUMP PHD (VICE PRESIDENT)
(315) 342-2558
Entity
Organization
Contact information
Practice address
46 E ONEIDA ST, OSWEGO, NY 13126-2218
(315) 342-2558
(315) 342-2046
Mailing address
46 E ONEIDA ST, OSWEGO, NY 13126-2218
(315) 342-2558
(315) 342-2046
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
013527
NY
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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