Organization
BRAYTON PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY JOY BRAYTON JD,PH.D. (OWNER)
(518) 792-9100
Entity
Organization
Contact information
Practice address
92 BAY ST, GLENS FALLS, NY 12801-3031
(518) 480-3188
Mailing address
92 BAY ST, GLENS FALLS, NY 12801-3031
(518) 480-3188
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02694246
—
NY
Enumeration date
11/03/2023
Last updated
11/03/2023
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