Individual
DR. BETHANY CLAES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
620 CROSSKEYS OFFICE PARK, FAIRPORT, NY 14450-3508
(585) 223-5920
(585) 223-5727
Mailing address
620 CROSSKEYS OFFICE PARK, FAIRPORT, NY 14450-3508
(585) 223-5920
(585) 223-5727
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
019234
NY
103TC2200X
Clinical Child & Adolescent Psychologist
019234
NY
103TS0200X
School Psychologist
019234
NY
Other
Enumeration date
08/21/2011
Last updated
04/11/2012
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