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Organization

BIG TREE COUNSELING PSYCOLOGICAL PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANNA M HOIER PSYD (LICENSED PSYCHOLOGIST)
(585) 243-2394
Entity
Organization

Contact information

Practice address
4828 LAKEVILLE ROAD, GENESCO, NY 14454
(585) 243-2394
(585) 243-9341
Mailing address
PO BOX 356, 4828 LAKEVILLE ROAD, GENESEO, NY 14454-0356
(585) 243-2394
(585) 243-9341

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
R014648
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02146514
NY
01
115158FC
PREFERRED CARE
NY
01
30014648
BCBS
01
7347503
AETNA
01
7352024
EMPIRE
NY
Enumeration date
03/27/2006
Last updated
10/12/2007
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