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General NPI Number Information
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NPI Number | 1093177693
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Entity Type | Organization
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Legal Business Name | MICHAEL LEMBARIS, PSY.D., PSYCHOLOGICAL SERVICES, P.C.
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Dates
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Enumeration Date | 03/23/2016
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 160 ALLENS CREEK RD STE 100
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City | ROCHESTER
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State | NY
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Zip | 14618-3309
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Country | US
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Telephone | 619-887-4068
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Fax | 866-687-9706
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Provider Business Mailing Address
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Address Line | 160 ALLENS CREEK RD STE 100
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City | ROCHESTER
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State | NY
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Zip | 14618-3309
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Country | US
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Telephone | 619-887-4068
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Fax | 866-687-9706
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL S LEMBARIS
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Credential | PSY.D.
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Telephone | 619-887-4068
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 28191
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License Number State | CA
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