Individual
TIMOTHY PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA CAS
Contact information
Practice address
801 CEDAR CIR, SPENCERPORT, NY 14559-1647
(585) 590-6061
Mailing address
801 CEDAR CIR, SPENCERPORT, NY 14559-1647
(585) 590-6061
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
06/18/2007
Last updated
07/08/2007
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