Organization
ALANCATKINSONPHDPSYCHOLOGISTPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN C ATKINSON PH.D. (PRESIDENT)
(716) 633-6863
Entity
Organization
Contact information
Practice address
5784 MAIN ST, WILLIAMSVILLE, NY 14221-5702
(716) 633-6863
(716) 633-9106
Mailing address
5784 MAIN ST, WILLIAMSVILLE, NY 14221-5702
(716) 633-6863
(716) 633-9106
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7523-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020550102
UNIVERA PROVIDER #
NY
Enumeration date
06/15/2006
Last updated
08/22/2020
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