Individual
ALYSA OSIPOVITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CAS
Contact information
Practice address
149 N MAIN ST, FAIRPORT, NY 14450-1434
(585) 377-2230
(585) 377-2243
Mailing address
149 N MAIN ST, FAIRPORT, NY 14450-1434
(585) 377-2230
(585) 377-2243
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
125217081
NY
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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