Individual
CHRISTINA MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1445 PORTLAND AVE, SUITE 204, ROCHESTER, NY 14621-3036
(585) 922-4969
Mailing address
1445 PORTLAND AVE, SUITE 204, ROCHESTER, NY 14621-3036
(585) 922-4969
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
014051
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02307239
—
NY
Enumeration date
04/26/2006
Last updated
07/08/2007
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