National Provider Identifier

Renee Madathil, PH.D.

Renee Madathil, PH.D. is listed in the NPPES registry with a primary specialty of Clinical Neuropsychologist in Rochester, NY and a listed phone number of (585) 275-3271.

NPI 1639595879Rochester, NYClinical Neuropsychologist

Profile Overview

NPI
1639595879
Provider Type
Individual
Primary Specialty
Clinical Neuropsychologist
Enumeration Date
March 12, 2014
Last Updated
June 29, 2023

Practice Location

  • 601 Elmwood Ave
  • Rochester, NY 14642-0001

Phone: (585) 275-3271

Mailing Address

  • 601 Elmwood Ave Box 664
  • Rochester, NY 14642-0001

Specialties

  • Clinical Neuropsychologist (103G00000X)
  • Clinical Neuropsychologist (103G00000X)
  • Student in an Organized Health Care Education/Training Program (390200000X)

Endpoints

  • rmadathil116018@direct.urmc.rochester.edu

    Direct Messaging Address | Direct | Other | Rochester, NY 14642

Full Record
NPI
1639595879
Entity Type
Individual
Last Name
Madathil
First Name
Renee
Name Prefix
Dr.
Credential
PH.D.
Mailing Street Address
601 Elmwood Ave Box 664
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Mailing Phone
(585) 784-9035
Mailing Fax
(585) 784-6064
Practice Street Address
601 Elmwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 275-3271
Practice Fax
(585) 442-2949
Enumeration Date
March 12, 2014
Last Updated
June 29, 2023
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Neuropsychologist (103G00000X), Clinical Neuropsychologist (103G00000X), Student in an Organized Health Care Education/Training Program (390200000X)