Individual
DR. ALECIA SUNDSMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
127 W STATE ST, ITHACA, NY 14850-5474
(607) 273-7494
(607) 273-7484
Mailing address
127 W STATE ST, ITHACA, NY 14850-5474
(607) 273-7494
(607) 273-7484
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
024334
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0069468
—
IA
01
—
06946
WELLMARK BCBS OF IOWA
IA
Enumeration date
05/26/2009
Last updated
04/10/2025
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