Individual
CAROLINE PIERPONT PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
42 NORTH MAIN STREET, CANANDAIGUA, NY 12180
(585) 919-0018
(585) 393-0014
Mailing address
2169 14TH STREET, TROY, NY 12180
(518) 437-6550
(518) 437-6565
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
018865
NY
103TC0700X
Clinical Psychologist
018865
NY
103TC2200X
Clinical Child & Adolescent Psychologist
018865
NY
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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