Individual
KENT M OSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2290 EAST AVENUE, ROCHESTER, NY 14610-2515
(585) 232-6160
Mailing address
2290 EAST AVENUE, ROCHESTER, NY 14610-2515
(585) 232-6160
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7631
NY
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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