National Provider Identifier
Paul Thaddeus Povinelli, PH.D.
Paul Thaddeus Povinelli, PH.D. is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Trumansburg, NY and a listed phone number of (607) 387-5741.
Profile Overview
- NPI
- 1639255524
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- October 31, 2006
- Last Updated
- July 08, 2007
Practice Location
- 45 Congress St
- Trumansburg, NY 14886-9103
Phone: (607) 387-5741
Specialties
- Clinical Psychologist (103TC0700X)
Full Record
- NPI
- 1639255524
- Entity Type
- Individual
- Last Name
- Povinelli
- First Name
- Paul
- Middle Name
- Thaddeus
- Name Prefix
- Dr.
- Credential
- PH.D.
- Mailing Street Address
- 45 Congress St
- Mailing City
- Trumansburg
- Mailing State
- NY
- Mailing ZIP Code
- 14886-9103
- Mailing Country
- US
- Mailing Phone
- (607) 387-5741
- Mailing Fax
- (607) 387-5575
- Practice Street Address
- 45 Congress St
- Practice City
- Trumansburg
- Practice State
- NY
- Practice ZIP Code
- 14886-9103
- Practice Country
- US
- Practice Phone
- (607) 387-5741
- Practice Fax
- (607) 387-5575
- Enumeration Date
- October 31, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Psychologist (103TC0700X)
- Other Identifiers
- 9534847 (NY), 111354 (NY, Value Options), SO8450-9 (NY, Workers Compensation)