Provider Demographics
NPI:1679716054
Name:ADHD & AUTISM ADVOCATES
Entity Type:Organization
Organization Name:ADHD & AUTISM ADVOCATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ-WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:315-732-3431
Mailing Address - Street 1:258 GENESEE ST
Mailing Address - Street 2:SUITE 505
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13502-4636
Mailing Address - Country:US
Mailing Address - Phone:315-732-3431
Mailing Address - Fax:866-822-2343
Practice Address - Street 1:258 GENESEE ST
Practice Address - Street 2:SUITE 505
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13502-4636
Practice Address - Country:US
Practice Address - Phone:315-732-3431
Practice Address - Fax:866-822-2343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-14
Last Update Date:2009-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP68563103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty