Individual
CHRISTA LISENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3180 WEST ST, CANANDAIGUA, NY 14424-1722
(585) 394-1442
(585) 394-1257
Mailing address
3180 WEST ST, CANANDAIGUA, NY 14424-1722
(585) 394-1442
(585) 394-1257
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
019161-1
NY
Other
Enumeration date
07/25/2011
Last updated
04/23/2019
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