National Provider Identifier
Ellen Shustorovich, PH.D.
Ellen Shustorovich, PH.D. is listed in the NPPES registry with a primary specialty of Psychologist in Rochester, NY and a listed phone number of (585) 612-1016.
Profile Overview
- NPI
- 1134546633
- Provider Type
- Individual
- Primary Specialty
- Psychologist
- Enumeration Date
- March 21, 2014
- Last Updated
- August 07, 2014
Practice Location
- 1513 South Ave
- Rochester, NY 14620-2926
Phone: (585) 612-1016
Specialties
- Psychologist (103T00000X)
Full Record
- NPI
- 1134546633
- Entity Type
- Individual
- Last Name
- Shustorovich
- First Name
- Ellen
- Name Prefix
- Dr.
- Credential
- PH.D.
- Mailing Street Address
- 1513 South Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-2926
- Mailing Country
- US
- Mailing Phone
- (585) 612-1016
- Practice Street Address
- 1513 South Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-2926
- Practice Country
- US
- Practice Phone
- (585) 612-1016
- Enumeration Date
- March 21, 2014
- Last Updated
- August 07, 2014
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomies
- Psychologist (103T00000X)