National Provider Identifier

Mia Pancaldo, PHD

Mia Pancaldo, PHD is listed in the NPPES registry with a primary specialty of Psychologist in Ithaca, NY and a listed phone number of (607) 275-0627.

NPI 1154417103Ithaca, NYPsychologist

Profile Overview

NPI
1154417103
Provider Type
Individual
Primary Specialty
Psychologist
Enumeration Date
October 05, 2006
Last Updated
July 08, 2007

Practice Location

  • 122A W Buffalo Street
  • Ithaca, NY 14850-4132

Phone: (607) 275-0627

Specialties

  • Psychologist (103T00000X)
Full Record
NPI
1154417103
Entity Type
Individual
Last Name
Pancaldo
First Name
Mia
Name Prefix
Dr.
Credential
PHD
Mailing Street Address
122A W Buffalo Street
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-4132
Mailing Country
US
Mailing Phone
(607) 275-0627
Mailing Fax
(607) 273-6271
Practice Street Address
122A W Buffalo Street
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-4132
Practice Country
US
Practice Phone
(607) 275-0627
Practice Fax
(607) 273-6271
Enumeration Date
October 05, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Psychologist (103T00000X)