Individual
ANASTASIA WILHELM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
719 HARRISON ST OFC 138, SYRACUSE, NY 13210-2695
(315) 464-3120
Mailing address
1109 E GENESEE ST APT 3, SYRACUSE, NY 13210-1928
(412) 592-8891
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
000000000
NY
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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