Individual
DENISE PINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 ELMWOOD AVE # D3, ROCHESTER, NY 14620-3005
(585) 241-1690
Mailing address
1111 ELMWOOD AVE # D3, ROCHESTER, NY 14620-3005
(585) 241-1690
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
014584
NY
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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