Doctor Name: | MS. ALICE E. SWEET FAATZ |
NPI Number: | 1013927581 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ATR, LPC, LMHC |
License Number: | 001990-1 |
Business Practice Address: | 17 E Genesee St Auburn, NY - 130214040 |
Business Phone Number: | 3152539795 |
Business Fax Number: | 3152533255 |
Mailing Address: | 70 South St, PORT BYRON |
State: | NY |
Postal Code: | 131403203 |
Phone Number: | 3157768780 |
Fax Number: | 3157768780 |
NPI Enumeration Date: | 08/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 001990-1 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |