Individual
DR. MICHELLE STEPHANIE STORIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2100 E GENESEE ST, SYRACUSE, NY 13210-2249
(315) 450-5269
Mailing address
8772 WEDGEFIELD LN, CICERO, NY 13039-9709
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
020634
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020634
NYS LICENSED PSYCHOLOGIST
NY
Enumeration date
07/20/2018
Last updated
07/20/2018
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