National Provider Identifier
Lavern K Cole-Ristuccia, PSY D PC
Lavern K Cole-Ristuccia, PSY D PC is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Rochester, NY and a listed phone number of (585) 507-2181.
Profile Overview
- NPI
- 1568570042
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- August 26, 2006
- Last Updated
- May 26, 2022
Practice Location
- 5 S Pittsford Hill Lane
- Rochester, NY 14618-2894
Phone: (585) 507-2181
Mailing Address
- 5 S Pittsford Hill Ln
- Rochester, NY 14618
Specialties
- Clinical Psychologist (103TC0700X)
Full Record
- NPI
- 1568570042
- Entity Type
- Individual
- Last Name
- Cole-Ristuccia
- First Name
- Lavern
- Middle Name
- K
- Name Prefix
- Dr.
- Credential
- PSY D PC
- Mailing Street Address
- 5 S Pittsford Hill Ln
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14618
- Mailing Country
- US
- Mailing Phone
- (585) 507-2181
- Mailing Fax
- (585) 385-9315
- Practice Street Address
- 5 S Pittsford Hill Lane
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14618-2894
- Practice Country
- US
- Practice Phone
- (585) 507-2181
- Practice Fax
- (585) 385-9315
- Enumeration Date
- August 26, 2006
- Last Updated
- May 26, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- May 11, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Psychologist (103TC0700X)
- Other Identifiers
- 010012985 (NY, BCBS), P010012985 (NY, Blue Choice), P102037FC (NY, Preferred Care), 01733782 (NY)