Seth F Aldrich, PHD

Individual provider Active NPI Psychologist · Tully, NY

NPI 1225733249 · NPPES record last updated Mar 31, 2023

Key facts

NPI
1225733249
Entity type
Individual (NPI type 1)
Primary specialty
Psychologist 103T00000X
License
013127 (NY)
Practice address
316 Long Rd
Tully, NY 13159-9423
Phone
(315) 415-6678
NPI assigned
Mar 31, 2023
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 013127 NY Yes

Addresses

Primary practice location

316 Long Rd
Tully, NY 13159-9423

Mailing address

316 Long Rd
Tully, NY 13159-9423
Phone (315) 415-6678

Other providers in Tully, NY

All providers in Tully, NY · Psychologist in New York

Sources for this page

Verify at the official NPI Registry.