National Provider Identifier

Mary E. Olsen-Lanzafame, PH.D.

Mary E. Olsen-Lanzafame, PH.D. is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Pittsford, NY and a listed phone number of (585) 732-5310.

NPI 1134281777Pittsford, NYClinical Psychologist

Profile Overview

NPI
1134281777
Provider Type
Individual
Primary Specialty
Clinical Psychologist
Enumeration Date
December 13, 2006
Last Updated
May 28, 2018

Practice Location

  • 121 Sullys Trl
  • Suite 5
  • Pittsford, NY 14534

Phone: (585) 732-5310

Mailing Address

  • 124 S Main St
  • Pittsford, NY 14534-2131

Specialties

  • Clinical Psychologist (103TC0700X)
  • Clinical Child & Adolescent Psychologist (103TC2200X)
  • Family Psychologist (103TF0000X)
  • Psychologist (103T00000X)
Full Record
NPI
1134281777
Entity Type
Individual
Last Name
Olsen-Lanzafame
First Name
Mary
Middle Name
E.
Name Prefix
Dr.
Credential
PH.D.
Provider Other Last Name
Olsen
Provider Other First Name
Mary
Provider Other Middle Name
E.
Provider Other Name Prefix Text
Dr.
Provider Other Credential Text
PH.D.
Provider Other Last Name Type Code
2
Mailing Street Address
124 S Main St
Mailing City
Pittsford
Mailing State
NY
Mailing ZIP Code
14534-2131
Mailing Country
US
Mailing Phone
(585) 732-5310
Mailing Fax
(585) 495-2146
Practice Street Address
121 Sullys Trl
Practice Address Line 2
Suite 5
Practice City
Pittsford
Practice State
NY
Practice ZIP Code
14534
Practice Country
US
Practice Phone
(585) 732-5310
Practice Fax
(585) 495-2146
Enumeration Date
December 13, 2006
Last Updated
May 28, 2018
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Psychologist (103TC0700X), Clinical Child & Adolescent Psychologist (103TC2200X), Family Psychologist (103TF0000X), Psychologist (103T00000X)
Other Identifiers
MDF487 (NY, Preferred Care Prov Id), P040012566 (NY, BCBS Provider Id), 7799323 (NM, Aetna Provider Id), P010012566 (NY, Blue Choice Provider Id)