Provider Demographics
NPI:1447030705
Name:ADAMS-THUERCK PSYCHOLOGICAL SERVICES, PC
Entity type:Organization
Organization Name:ADAMS-THUERCK PSYCHOLOGICAL SERVICES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TANGERIA
Authorized Official - Middle Name:RASHIDA
Authorized Official - Last Name:ADAMS-THUERCK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:716-203-1116
Mailing Address - Street 1:1400 PORTLAND AVE STE 54
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14621-3014
Mailing Address - Country:US
Mailing Address - Phone:716-203-1116
Mailing Address - Fax:
Practice Address - Street 1:1400 PORTLAND AVE STE 54
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14621-3014
Practice Address - Country:US
Practice Address - Phone:716-203-1116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty