Individual
DR. ELIZABETH CONCETTA VENTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
PO BOX 412, CALLICOON, NY 12723-0412
(646) 820-7643
Mailing address
PO BOX 412, CALLICOON, NY 12723-0412
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
026732
NY
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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