National Provider Identifier

Ernesto Michelucci, PH.D.

Ernesto Michelucci, PH.D. is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Fairport, NY and a listed phone number of (585) 223-5920.

NPI 1609814524Fairport, NYClinical Psychologist

Profile Overview

NPI
1609814524
Provider Type
Individual
Primary Specialty
Clinical Psychologist
Enumeration Date
June 03, 2006
Last Updated
April 20, 2012

Practice Location

  • 620 Crosskeys Office Park
  • Fairport, NY 14450-3508

Phone: (585) 223-5920

Specialties

  • Clinical Psychologist (103TC0700X)
Full Record
NPI
1609814524
Entity Type
Individual
Last Name
Michelucci
First Name
Ernesto
Name Prefix
Dr.
Credential
PH.D.
Mailing Street Address
620 Crosskeys Office Park
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-3508
Mailing Country
US
Mailing Phone
(585) 223-5920
Mailing Fax
(585) 223-5727
Practice Street Address
620 Crosskeys Office Park
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-3508
Practice Country
US
Practice Phone
(585) 223-5920
Practice Fax
(585) 223-5727
Enumeration Date
June 03, 2006
Last Updated
April 20, 2012
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Psychologist (103TC0700X)