Individual
PAUL R KING JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3495 BAILEY AVE, VA CENTER FOR INTEGRATED HEALTHCARE (116N), BUFFALO, NY 14215-1129
(716) 862-6038
Mailing address
3495 BAILEY AVE, VA CENTER FOR INTEGRATED HEALTHCARE (116N), BUFFALO, NY 14215-1129
(716) 862-6038
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
019737
NY
Other
Enumeration date
03/18/2013
Last updated
03/18/2013
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