National Provider Identifier
Theresa Mignone-Klostermann, PHD
Theresa Mignone-Klostermann, PHD is listed in the NPPES registry with a primary specialty of Psychologist in Amherst, NY and a listed phone number of (716) 864-6659.
Profile Overview
- NPI
- 1073751335
- Provider Type
- Individual
- Primary Specialty
- Psychologist
- Enumeration Date
- January 25, 2009
- Last Updated
- January 25, 2009
Practice Location
- 4511 Harlem RD
- Amherst, NY 14226-3803
Phone: (716) 864-6659
Mailing Address
- 342 Greengage Cir
- East Amherst, NY 14051-2129
Specialties
- Psychologist (103T00000X)
Full Record
- NPI
- 1073751335
- Entity Type
- Individual
- Last Name
- Mignone-Klostermann
- First Name
- Theresa
- Name Prefix
- Dr.
- Credential
- PHD
- Mailing Street Address
- 342 Greengage Cir
- Mailing City
- East Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14051-2129
- Mailing Country
- US
- Mailing Phone
- (716) 864-6659
- Mailing Fax
- (716) 636-3635
- Practice Street Address
- 4511 Harlem RD
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14226-3803
- Practice Country
- US
- Practice Phone
- (716) 864-6659
- Practice Fax
- (716) 636-3635
- Enumeration Date
- January 25, 2009
- Last Updated
- January 25, 2009
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychologist (103T00000X)