Individual
DR. KERRY KATHLEEN GROHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3495 BAILEY AVE, VA-WNYHS, 116B, BUFFALO, NY 14215-1129
(716) 833-3827
(716) 833-9710
Mailing address
469 WASHINGTON HWY, AMHERST, NY 14226-4648
(716) 833-3827
(716) 833-9710
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
015340-1
NY
103TC1900X
Counseling Psychologist
015340-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02407041
—
NY
Enumeration date
10/04/2006
Last updated
04/29/2008
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