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Individual

DR. TACIANNA PINHEIRO OLIVER INDOVINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1231 DELAWARE AVE # 101, BUFFALO, NY 14209-1442
(585) 752-5320
Mailing address
123 WHITE RD, CHEEKTOWAGA, NY 14225-1343
(585) 752-5320

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
023640
NY
103TC1900X
Counseling Psychologist

Other

Enumeration date
09/13/2018
Last updated
01/28/2020
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