Olsen-Lanzafame, Mary E.
Olsen-Lanzafame, Mary E. is an sole proprietor health care provider with primary practice located at 121 Sullys Trl Suite 5, Pittsford NY 14534. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Olsen-Lanzafame, Mary E. can be contacted via phone (585) 732-5310.Contact Information
Primary practice address
121 Sullys Trl Suite 5
Pittsford NY 14534
Phone: (585) 732-5310
Fax: (585) 495-2146
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 012566 | New York |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 012566 | New York |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | 012566 | New York |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 012566 | New York |
Profile Details
| NPI number | 1134281777 |
|---|---|
| LBN Legal business name | Olsen-Lanzafame, Mary E. |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2006 |
| Last updated | May 28th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134281777 | NPPES |
| New York | Other | MDF487 | PREFERRED CARE PROV ID |
| New York | Other | P040012566 | PREFERRED CARE PROV ID |
| New York | Other | 7799323 | PREFERRED CARE PROV ID |
| New York | Other | P010012566 | PREFERRED CARE PROV ID |
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