Provider Demographics
NPI:1164071155
Name:PIEGAY, OLIVIA MARIE (PHD)
Entity Type:Individual
Prefix:DR
First Name:OLIVIA
Middle Name:MARIE
Last Name:PIEGAY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:OLIVIA
Other - Middle Name:MARIE
Other - Last Name:SCHLAGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:7695 JEWETT HOLMWOOD RD
Mailing Address - Street 2:
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-3009
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1200 E AND WEST RD
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-3604
Practice Address - Country:US
Practice Address - Phone:716-532-1049
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-11
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023379103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist