Individual
DR. DAVID WAYNE SPRAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
12 ADAMS ST, BATAVIA, NY 14020-2902
(585) 356-1323
(585) 344-8649
Mailing address
PO BOX 527, BATAVIA, NY 14021-0527
(585) 356-1323
(585) 344-8649
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
010122-1
NY
103TC1900X
Counseling Psychologist
010122-2
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01-213-730
—
NY
Enumeration date
10/01/2005
Last updated
12/05/2016
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