Individual
ALISON VARGOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4498 MAIN ST STE 4 #1614, BUFFALO, NY 14226-3826
(716) 217-0282
Mailing address
2160 HALL RD, ELMA, NY 14059-9787
(716) 200-7674
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
022213-01
NY
103TC0700X
Clinical Psychologist
Primary
022213-01
NY
Other
Enumeration date
09/01/2015
Last updated
06/28/2024
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