Individual
DR. DALE KULICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1111 ELMWOOD AVE, ROCHESTER, NY 14620-3005
(585) 241-1362
(585) 241-1246
Mailing address
1111 ELMWOOD AVE, ROCHESTER, NY 14620-3005
(585) 241-1362
(585) 241-1246
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
014635-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02137593
—
NY
Enumeration date
10/06/2016
Last updated
10/06/2016
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