Michael D Gleason, MS
Psychologist, Intellectual & Developmental Disabilities in Penn Yan, NY. Individual provider (NPI-1).
NPI number1124478490
StatusActive
Last updated in NPPESJun 17, 2016
Details
- NPI
- 1124478490
- Entity type
- Individual (NPI-1)
- Name
- Michael D Gleason
- Credential
- MS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 17, 2016
- Last updated
- Jun 17, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TM1800X | Psychologist, Intellectual & Developmental Disabilities | – | – | Yes |
Practice location
235 North AvePenn Yan, NY 14527-1051
Phone 315-536-7447
Mailing address
3300 E Lake Rd Unit 7cCanandaigua, NY 14424-2353
Phone 315-415-5465
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