Individual
LESLIE GENEVIEVE DAVIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
150 STAHL RD, GETZVILLE, NY 14068-1231
(716) 629-3466
Mailing address
144 BRITANNIA DR, EAST AMHERST, NY 14051-1859
(716) 207-1318
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
024569
NY
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
024569
NY
103TC1900X
Counseling Psychologist
024569
NY
Other
Enumeration date
07/25/2018
Last updated
01/10/2022
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