Individual
GENEL GRONKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
110 HO PLZ, ITHACA, NY 14853-3102
(607) 255-5155
Mailing address
110 HO PLZ, ITHACA, NY 14853-3102
(607) 255-5155
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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