Individual
DR. KATHRYN TERESA VULLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3965 UNION ST, NORTH CHILI, NY 14514-9718
(585) 424-5980
Mailing address
3965 UNION ST, NORTH CHILI, NY 14514-9718
(585) 424-5980
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
015139
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S15139-9B
WORKERS COMP
NY
Enumeration date
09/23/2006
Last updated
02/25/2021
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