Individual
DR. ELLEN SHUSTOROVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1513 SOUTH AVE, ROCHESTER, NY 14620-2926
(585) 612-1016
Mailing address
1513 SOUTH AVE, ROCHESTER, NY 14620-2926
(585) 612-1016
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
020508
NY
Other
Enumeration date
03/21/2014
Last updated
08/07/2014
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