Individual
DR. RAYMOND A BODENSIECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD PSYCHOLOGIST
Contact information
Practice address
1 WEST AVE STE 230, SARATOGA SPRINGS, NY 12866-6050
(518) 583-5300
(518) 583-7990
Mailing address
634 PLANK RD STE 201, CLIFTON PARK, NY 12065-4881
(518) 383-7793
(518) 383-7793
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
010453-1
NY
Other
Enumeration date
10/11/2006
Last updated
10/25/2019
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