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Contact Information

ALISA K. PHELPS, PH.D., PSYCHOLOGIST, PLLC
697 HIGHLAND AVE
ROCHESTER, NY14620-3119
 Phone: 585-256-1963
 Fax: 585-256-9851
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ALISA K. PHELPS, PH.D., PSYCHOLOGIST, PLLC

NPI Number 1891231916
LBN Legal business name ALISA K. PHELPS, PH.D., PSYCHOLOGIST, PLLC
Authorized official ALISA PHELPS - (LICENSED PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 01/12/2017
Last updated 01/12/2017 - About 9 years ago
Identifiers
NY License # 013289
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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