Individual
ALISA K PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
697 HIGHLAND AVENUE, ROCHESTER, NY 14620
(585) 256-1963
(585) 256-9851
Mailing address
697 HIGHLAND AVENUE, ROCHESTER, NY 14620
(585) 256-1963
(585) 256-9851
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0132891
NY
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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