Individual
DR. AARON GLEASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
6836 E GENESEE ST, FAYETTEVILLE, NY 13066-1024
(315) 464-3191
Mailing address
560 NOTTINGHAM RD, SYRACUSE, NY 13210-3429
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
016774-1
NY
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
016774-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02782387
—
NY
Enumeration date
09/16/2006
Last updated
09/11/2025
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