Individual
DR. MARY JO PENIZOTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6507 TRANSIT RD, SUITE B, EAST AMHERST, NY 14051-1427
(716) 204-0100
(716) 204-2761
Mailing address
6507 TRANSIT RD, SUITE B, EAST AMHERST, NY 14051-1427
(716) 204-0100
(716) 204-2761
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0103731
NY
Other
Enumeration date
08/18/2005
Last updated
10/25/2008
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