Individual
MICHAEL WALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASTER SCHOOL PSYCH
Contact information
Practice address
1347 SNYDER RD, ALFRED STATION, NY 14803-9738
(607) 382-5866
Mailing address
1347 SNYDER RD, ALFRED STATION, NY 14803-9738
(607) 382-5866
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NY
Other
Enumeration date
09/30/2014
Last updated
07/21/2022
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