Provider Demographics
NPI:1235205196
Name:FAMILY PARTNERS IN PSYCHOLOGICAL HEALTH
Entity Type:Organization
Organization Name:FAMILY PARTNERS IN PSYCHOLOGICAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CLIFFORD
Authorized Official - Middle Name:LAWRENCE
Authorized Official - Last Name:IVERS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:315-451-0202
Mailing Address - Street 1:600 OSWEGO STREET SUITE A
Mailing Address - Street 2:FAMILY PARTNERS IN PSYCHOLOGICAL HEALTH
Mailing Address - City:LIVERPOOL
Mailing Address - State:NY
Mailing Address - Zip Code:13088
Mailing Address - Country:US
Mailing Address - Phone:315-451-0202
Mailing Address - Fax:315-451-6667
Practice Address - Street 1:600 OSWEGO STREET SUITE A
Practice Address - Street 2:FAMILY PARTNERS IN PSYCHOLOGICAL HEALTH
Practice Address - City:LIVERPOOL
Practice Address - State:NY
Practice Address - Zip Code:13088
Practice Address - Country:US
Practice Address - Phone:315-451-0202
Practice Address - Fax:315-451-6667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty