| Doctor Name: | DR. BETHANY CLAES |
| NPI Number: | 1063792190 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 019234 |
| Business Practice Address: | 620 Crosskeys Office Park Fairport, NY - 144503508 |
| Business Phone Number: | 5852235920 |
| Business Fax Number: | 5852235727 |
| Mailing Address: | 620 Crosskeys Office Park, FAIRPORT |
| State: | NY |
| Postal Code: | 144503508 |
| Phone Number: | 5852235920 |
| Fax Number: | 5852235727 |
| NPI Enumeration Date: | 08/21/2011 |
| NPI Last Update Date: | 04/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | 019234 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |