Individual
DR. ERNESTO MICHELUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
620 CROSSKEYS OFFICE PARK, FAIRPORT, NY 14450-3508
(585) 223-5920
(585) 223-5727
Mailing address
620 CROSSKEYS OFFICE PARK, FAIRPORT, NY 14450-3508
(585) 223-5920
(585) 223-5727
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
012014
NY
Other
Enumeration date
06/03/2006
Last updated
04/20/2012
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