Individual
KATELYNN MARIE FAULKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1 OLD PLANK RD # 1D, CLINTON, NY 13323-1802
(716) 474-0076
Mailing address
1 OLD PLANK RD # 1D, CLINTON, NY 13323-1802
(716) 474-0076
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
023892-01
NY
Other
Enumeration date
10/06/2020
Last updated
11/27/2023
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