Provider Demographics
NPI:1023267994
Name:COTTONE, JEROME WILLIAM (PH D)
Entity type:Individual
Prefix:DR
First Name:JEROME
Middle Name:WILLIAM
Last Name:COTTONE
Suffix:
Gender:M
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SNYDER PSYCHOLOGICAL SERVICES
Mailing Address - Street 2:4476 MAIN STREET
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14226-4321
Mailing Address - Country:US
Mailing Address - Phone:716-861-7820
Mailing Address - Fax:716-725-6199
Practice Address - Street 1:SNYDER PSYCHOLOGICAL SERVICES
Practice Address - Street 2:4476 MAIN STREET
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14226-4321
Practice Address - Country:US
Practice Address - Phone:716-898-5708
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-15
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY68 014246103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist