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NPI Code Detail

MEDICARE: DR. BERNADETTE C. MCCOURT PH.D.

MEDICARE:  DR. BERNADETTE C. MCCOURT  PH.D.
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
1103T00000XPsychologist016079-1NY

General Provider Information

NPI Number : 1649262569
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BERNADETTE C. MCCOURT PH.D.
Provider Business Mailing Address
First Line : 1250 NIAGARA ST STE 230
Second Line :
City : BUFFALO
State : NY
Zip : 14213-1776
Country : US
Telephone Number : 716-512-5577
Fax Number : 716-580-7006
Provider Business Practice Location Address
First Line : 1250 NIAGARA ST STE 230
Second Line :
City : BUFFALO
State : NY
Zip : 14213-1776
Country : US
Telephone Number : 716-512-5577
Fax Number : 716-580-7006
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2005
Last Update Date : 08/31/2025

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Directions to “ DR. BERNADETTE C. MCCOURT PH.D.” Practice Location

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