Individual
PATRICK BILLUPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.S.
Contact information
Practice address
52 N GENESEE ST APT 2, GENEVA, NY 14456-1141
(304) 550-4487
Mailing address
52 N GENESEE ST APT 2, GENEVA, NY 14456-1141
(304) 550-4487
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
PPS-0605113
VA
Other
Enumeration date
02/06/2019
Last updated
08/23/2021
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