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Individual

DR. MARCY ANN BUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
ONE LOOKWOOD DRIVE, SUITE 100, PITTSFORD, NY 14534
(585) 383-0030
(585) 383-1858
Mailing address
110 GLENHILL DRIVE, ROCHESTER, NY 14618
(585) 473-0481

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
009307
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7165336
AETNA
NY
Enumeration date
02/27/2007
Last updated
07/08/2007
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