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Individual

DR. JOHN E. NORTHMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D., ABPP

Contact information

Practice address
4955 N BAILEY AVE, SUITE 204, AMHERST, NY 14226-1206
(716) 833-5930
(716) 833-5954
Mailing address
4955 N BAILEY AVE, SUITE 204, AMHERST, NY 14226-1206
(716) 833-5930
(716) 833-5954

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5508
NY

Other

Enumeration date
10/19/2006
Last updated
07/08/2007
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