Individual
KRISTA MARGUERITE DAMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2655 RIDGEWAY AVE, SUITE 420, ROCHESTER, NY 14626-4296
(585) 723-7972
(585) 368-3119
Mailing address
2655 RIDGEWAY AVE, SUITE 420, ROCHESTER, NY 14626-4296
(585) 723-7972
(585) 368-3119
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
017575
NY
103TC1900X
Counseling Psychologist
017575
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03071074
—
NY
Enumeration date
03/11/2008
Last updated
09/28/2022
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