Individual
DR. JONATHAN L. WILSON TREIBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D. ABPP
Contact information
Practice address
719 ENGLEWOOD AVE, BUFFALO, NY 14223-2406
(716) 480-1947
(716) 464-4951
Mailing address
PO BOX 443, BUFFALO, NY 14223-0443
(716) 480-1997
(716) 464-4951
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0078691
NY
Other
Enumeration date
08/04/2006
Last updated
12/27/2016
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