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Organization
PSYCHOLOGICAL & FAMILY SERVICES
Active
Organization
PSYCHOLOGICAL & FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME RENE WILETT (OWNER)
(315) 472-9042
Entity
Organization
Contact information
Practice address
500 N MCBRIDE ST, SYRACUSE, NY 13203-1913
(315) 472-9042
(315) 472-9065
Mailing address
500 N MCBRIDE ST, SYRACUSE, NY 13203-1913
(315) 472-9042
(315) 472-9065
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
005499-1
NY
Other
Enumeration date
06/09/2008
Last updated
07/23/2008
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