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NPI Code Detail

MEDICARE: NANCY WEPPNER KOSTELNY LMHC

MEDICARE: NANCY WEPPNER KOSTELNY LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker000212-1NY

General Provider Information

NPI Number : 1598861221
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY WEPPNER KOSTELNY LMHC
Provider Business Mailing Address
First Line : 3821 TEACHERS LN APT 10
Second Line :
City : ORCHARD PARK
State : NY
Zip : 14127-2184
Country : US
Telephone Number : 716-604-5596
Fax Number :
Provider Business Practice Location Address
First Line : 3020 BAILEY AVE
Second Line :
City : BUFFALO
State : NY
Zip : 14215-2814
Country : US
Telephone Number : 716-831-1800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2006
Last Update Date : 07/08/2007

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Directions to “ NANCY WEPPNER KOSTELNY LMHC” Practice Location

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