Individual
JULIE E KINGERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
617 CASTLE ST, GENEVA, NY 14456-1403
(410) 274-0121
Mailing address
617 CASTLE ST, GENEVA, NY 14456-1403
(410) 274-0121
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
04218
MD
Other
Enumeration date
05/07/2007
Last updated
05/03/2022
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