Provider Demographics
NPI:1497749600
Name:ALETTA, ELVIRA G (PHD)
Entity Type:Individual
Prefix:
First Name:ELVIRA
Middle Name:G
Last Name:ALETTA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1416 SWEET HOME RD STE 8
Mailing Address - Street 2:UNIVERSITY COMMONS
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-2784
Mailing Address - Country:US
Mailing Address - Phone:716-308-6683
Mailing Address - Fax:
Practice Address - Street 1:5820 MAIN ST
Practice Address - Street 2:SUITE 400
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-5776
Practice Address - Country:US
Practice Address - Phone:716-308-6683
Practice Address - Fax:716-633-6528
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-02
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009478103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral