National Provider Identifier
Susan J. Polino, PHD
Susan J. Polino, PHD is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Rochester, NY and a listed phone number of (585) 275-8503.
Profile Overview
- NPI
- 1255427894
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- October 04, 2006
- Last Updated
- December 17, 2020
Practice Location
- 601 Elmwood Avenue
- Box 278984
- Rochester, NY 14620-0001
Phone: (585) 275-8503
Mailing Address
- 1351 Mt. Hope Avenue
- Suite 116
- Rochester, NY 14620-3917
Specialties
- Clinical Psychologist (103TC0700X)
Full Record
- NPI
- 1255427894
- Entity Type
- Individual
- Last Name
- Polino
- First Name
- Susan
- Middle Name
- J.
- Credential
- PHD
- Provider Other Last Name
- Maher
- Provider Other First Name
- Susan
- Provider Other Middle Name
- Jean
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 1351 Mt. Hope Avenue
- Mailing Address Line 2
- Suite 116
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-3917
- Mailing Country
- US
- Mailing Phone
- (585) 275-8503
- Mailing Fax
- (585) 276-2249
- Practice Street Address
- 601 Elmwood Avenue
- Practice Address Line 2
- Box 278984
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-0001
- Practice Country
- US
- Practice Phone
- (585) 275-8503
- Practice Fax
- (585) 276-2249
- Enumeration Date
- October 04, 2006
- Last Updated
- December 17, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 17, 2020
- Taxonomies
- Clinical Psychologist (103TC0700X)