National Provider Identifier

Brian South, PSYD

Brian South, PSYD is listed in the NPPES registry with a primary specialty of Psychologist in Olean, NY and a listed phone number of (716) 375-4747.

NPI 1801436258Olean, NYPsychologist

Profile Overview

NPI
1801436258
Provider Type
Individual
Primary Specialty
Psychologist
Enumeration Date
January 14, 2020
Last Updated
January 14, 2020

Practice Location

  • 1439 Buffalo St
  • Olean, NY 14760-1140

Phone: (716) 375-4747

Mailing Address

  • 18 Laurel Dr
  • Bradford, PA 16701-1511

Specialties

  • Psychologist (103T00000X)
Full Record
NPI
1801436258
Entity Type
Individual
Last Name
South
First Name
Brian
Name Prefix
Dr.
Credential
PSYD
Mailing Street Address
18 Laurel Dr
Mailing City
Bradford
Mailing State
PA
Mailing ZIP Code
16701-1511
Mailing Country
US
Mailing Phone
(814) 598-0367
Practice Street Address
1439 Buffalo St
Practice City
Olean
Practice State
NY
Practice ZIP Code
14760-1140
Practice Country
US
Practice Phone
(716) 375-4747
Enumeration Date
January 14, 2020
Last Updated
January 14, 2020
Sex
Male
Sole Proprietor
No
Certification Date
January 14, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Psychologist (103T00000X)