Individual
KAREN CHESNUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5820 MAIN ST, SUITE 610, WILLIAMSVILLE, NY 14221-5776
(716) 633-5782
(716) 639-1537
Mailing address
5820 MAIN ST, SUITE 610, WILLIAMSVILLE, NY 14221-5776
(716) 633-5782
(716) 639-1537
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
008888-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020248802
UNIVERA
NY
01
—
000510201003
BLUE CROSSBLUE SHIELD
NY
Enumeration date
12/27/2006
Last updated
07/08/2007
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