Provider Demographics
NPI:1619535580
Name:FELVER PSYCHOLOGICAL SERVICES PC
Entity Type:Organization
Organization Name:FELVER PSYCHOLOGICAL SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:FELVER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:315-308-1137
Mailing Address - Street 1:4317 E GENESEE ST STE 202
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13214-2114
Mailing Address - Country:US
Mailing Address - Phone:315-308-1137
Mailing Address - Fax:
Practice Address - Street 1:4317 E GENESEE ST STE 202
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13214-2114
Practice Address - Country:US
Practice Address - Phone:315-308-1137
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-05
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty