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Individual

DR. SHERYL SUE TATELMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1151 PITTSFORD VICTOR RD, SUITE 120, PITTSFORD, NY 14534-3800
(585) 586-6390
(585) 586-6390
Mailing address
1151 PITTSFORD VICTOR RD, SUITE 120, PITTSFORD, NY 14534-3800
(585) 586-6390
(585) 586-6390

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0140321
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
111863F6
PREFERRED CARE
NY
01
7336356
AETNA
NY
01
P010014032
BLUE CHOICE
NY
01
P030014032
BLUE CROSS BLUE SHIELD
NY
Enumeration date
09/28/2006
Last updated
04/21/2009
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