LEE M. FAVER PHD PSYCHOLOGIST PC


Address: 12 Radcliffe Rd, Buffalo, NY 14214-1221
Phone: 7165533319

LEE M. FAVER PHD PSYCHOLOGIST PC (NPI# 1073510384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073510384
Entity Type Organization
Organization Name LEE M. FAVER PHD PSYCHOLOGIST PC
Practice Address 12 Radcliffe Rd
Buffalo
NY 14214-1221
Practice Telephone 7165533319
Mailing Telephone 7165533319
Enumeration Date 2005-06-30
Last Update Date 2020-08-22
Authorized Official Name DR. LEE MITCH FAVER (PRESIDENT; LICENSED PSYCHOLOGIST)
Authorized Official Telephone 7165533319
Authorized Official Credential PHD ABPP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
011953 NY Behavioral Health & Social Service Providers

Office Location

Street Address 12 RADCLIFFE RD
City BUFFALO
State NY
Zip Code 14214-1221

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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

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1215928965 Kim Knox Faulkner Psychologist 135 Pine Street, Suite B, Buffalo, WY 82834-2332 2005-11-02
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1861636656 Gregory Paul Beehler Psychologist 3495 Bailey Ave, Psychology (116b), Buffalo Va Medical Center, Buffalo, NY 14215-1129 2009-04-24
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Competitor

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City BUFFALO
Zip Code 14214

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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