National Provider Identifier

Janette Lynn Funk, PHD

Janette Lynn Funk, PHD is listed in the NPPES registry with a primary specialty of Psychologist in Rochester, NY and a listed phone number of (413) 884-4341.

NPI 1477866176Rochester, NYPsychologist

Profile Overview

NPI
1477866176
Provider Type
Individual
Primary Specialty
Psychologist
Enumeration Date
July 22, 2010
Last Updated
July 22, 2010

Practice Location

  • 1577 South Ave
  • Rochester, NY 14620-3914

Phone: (413) 884-4341

Mailing Address

  • 26 Avonmore Way
  • Penfield, NY 14526-1624

Specialties

  • Psychologist (103T00000X)
Full Record
NPI
1477866176
Entity Type
Individual
Last Name
Funk
First Name
Janette
Middle Name
Lynn
Name Prefix
Dr.
Credential
PHD
Mailing Street Address
26 Avonmore Way
Mailing City
Penfield
Mailing State
NY
Mailing ZIP Code
14526-1624
Mailing Country
US
Mailing Phone
(413) 884-4341
Mailing Fax
(585) 273-1117
Practice Street Address
1577 South Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-3914
Practice Country
US
Practice Phone
(413) 884-4341
Enumeration Date
July 22, 2010
Last Updated
July 22, 2010
Sex
Female
Sole Proprietor
Yes
Taxonomies
Psychologist (103T00000X)
Other Identifiers
12130018 (NY, Caqh)