Individual
DR. BRENDA EASTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
890 EAST SECOND ST., VA WNY OUTPATIENT CLINIC-TRC, JAMESTOWN, NY 14701
(716) 661-1447
Mailing address
2872 ROUTE 394, ASHVILLE, NY 14710-9731
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
008164-1
NY
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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