National Provider Identifier
Clarissa Lynn Wood, PHD
Clarissa Lynn Wood, PHD is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Rochester, NY and a listed phone number of (585) 340-7024.
Profile Overview
- NPI
- 1568022119
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- June 17, 2019
- Last Updated
- May 29, 2024
Practice Location
- 36 Hollywood Ave
- Rochester, NY 14618-1810
Phone: (585) 340-7024
Specialties
- Clinical Psychologist (103TC0700X)
- Clinical Child & Adolescent Psychologist (103TC2200X)
Full Record
- NPI
- 1568022119
- Entity Type
- Individual
- Last Name
- Wood
- First Name
- Clarissa
- Middle Name
- Lynn
- Name Prefix
- Dr.
- Credential
- PHD
- Provider Other Last Name
- Mooney
- Provider Other First Name
- Clarissa
- Provider Other Middle Name
- Lynn
- Provider Other Credential Text
- PHD
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 36 Hollywood Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14618-1810
- Mailing Country
- US
- Mailing Phone
- (585) 340-7024
- Mailing Fax
- (585) 310-0240
- Practice Street Address
- 36 Hollywood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14618-1810
- Practice Country
- US
- Practice Phone
- (585) 340-7024
- Practice Fax
- (585) 310-0240
- Enumeration Date
- June 17, 2019
- Last Updated
- May 29, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- May 29, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Psychologist (103TC0700X), Clinical Child & Adolescent Psychologist (103TC2200X)