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Organization
COUNTY OF STEUBEN
Active
Organization
COUNTY OF STEUBEN
Active
Other names
Steuben County Community Services - MH
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY W. CHAPMAN PSY.D. (DIRECTOR OF COMMUNITY SERVICES)
(607) 664-2255
Entity
Organization
Contact information
Practice address
115 LIBERTY ST, BATH, NY 14810-1508
(607) 664-2255
(607) 664-2162
Mailing address
115 LIBERTY ST, BATH, NY 14810-1508
(607) 664-2255
(607) 664-2162
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000159861
BCBS MH
NY
01
—
000426563
UNIVERA MH
NY
05
—
00357488
—
NY
01
—
105427EU
PREFERRED CARE
NY
01
—
112630100
ACS
NY
01
—
7342561
NYSHIP/VO/RR/FHP
NY
01
—
CA2584
RAILROAD MEDICARE
NY
Enumeration date
09/14/2006
Last updated
03/31/2016
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