Healthcare Provider Details

I. General information

NPI: 1518171966
Provider Name (Legal Business Name): FRANCES ANN MOYER LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4390 QUINBY DR SUITE D
HAMBURG NY
14075-7900
US

IV. Provider business mailing address

5922 MCKINLEY PKWY NONE
HAMBURG NY
14075-5415
US

V. Phone/Fax

Practice location:
  • Phone: 716-648-6401
  • Fax: 716-270-5282
Mailing address:
  • Phone: 716-648-6401
  • Fax: 716-270-5282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number000533
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: