Organization
STANFORD PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA STANFORD PH.D. (SOLE OWNER/CLINICAL PSYCHOLOGIST)
(716) 201-0203
Entity
Organization
Contact information
Practice address
4498 MAIN ST STE 16, SNYDER, NY 14226-3826
(716) 201-0203
Mailing address
4498 MAIN ST STE 16, SNYDER, NY 14226-3826
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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