Individual
DONALD BARTLETT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2447 SHERIDAN DR, TONAWANDA, NY 14150-9405
(716) 835-9800
(716) 835-9888
Mailing address
2447 SHERIDAN DR, TONAWANDA, NY 14150-9405
(716) 835-9800
(716) 835-9888
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0055361
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00736829
—
NY
Enumeration date
08/23/2005
Last updated
07/08/2007
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