Individual
DR. BRIAN SOUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1439 BUFFALO ST, OLEAN, NY 14760-1140
(716) 375-4747
Mailing address
18 LAUREL DR, BRADFORD, PA 16701-1511
(814) 598-0367
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
023619
NY
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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