Organization
LEE M. FAVER PHD PSYCHOLOGIST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE MITCH FAVER PHD ABPP (PRESIDENT; LICENSED PSYCHOLOGIST)
(716) 553-3319
Entity
Organization
Contact information
Practice address
12 RADCLIFFE RD, BUFFALO, NY 14214-1221
(716) 553-3319
Mailing address
12 RADCLIFFE RD, BUFFALO, NY 14214-1221
(716) 553-3319
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
011953
NY
Other
Enumeration date
06/30/2005
Last updated
08/22/2020
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