National Provider Identifier

Thomas A Minotti, PHD., LCSW-R

Thomas A Minotti, PHD., LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Elmira, NY and a listed phone number of (607) 734-1447.

NPI 1457316747Elmira, NYClinical Social Worker

Profile Overview

NPI
1457316747
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
April 19, 2006
Last Updated
July 09, 2007

Practice Location

  • 963 Walnut St
  • Elmira, NY 14901-1831

Phone: (607) 734-1447

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1457316747
Entity Type
Individual
Last Name
Minotti
First Name
Thomas
Middle Name
A
Name Prefix
Mr.
Credential
PHD., LCSW-R
Mailing Street Address
963 Walnut St
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901-1831
Mailing Country
US
Mailing Phone
(607) 734-1447
Mailing Fax
(607) 737-6274
Practice Street Address
963 Walnut St
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901-1831
Practice Country
US
Practice Phone
(607) 734-1447
Practice Fax
(607) 737-6274
Enumeration Date
April 19, 2006
Last Updated
July 09, 2007
Sex
Male
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)