National Provider Identifier
Mary Jo Penizotto, PH.D.
Mary Jo Penizotto, PH.D. is listed in the NPPES registry with a primary specialty of Clinical Psychologist in East Amherst, NY and a listed phone number of (716) 204-0100.
Profile Overview
- NPI
- 1679565386
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- August 18, 2005
- Last Updated
- October 25, 2008
Practice Location
- 6507 Transit RD
- Suite B
- East Amherst, NY 14051-1427
Phone: (716) 204-0100
Specialties
- Clinical Psychologist (103TC0700X)
Full Record
- NPI
- 1679565386
- Entity Type
- Individual
- Last Name
- Penizotto
- First Name
- Mary Jo
- Name Prefix
- Dr.
- Credential
- PH.D.
- Mailing Street Address
- 6507 Transit RD
- Mailing Address Line 2
- Suite B
- Mailing City
- East Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14051-1427
- Mailing Country
- US
- Mailing Phone
- (716) 204-0100
- Mailing Fax
- (716) 204-2761
- Practice Street Address
- 6507 Transit RD
- Practice Address Line 2
- Suite B
- Practice City
- East Amherst
- Practice State
- NY
- Practice ZIP Code
- 14051-1427
- Practice Country
- US
- Practice Phone
- (716) 204-0100
- Practice Fax
- (716) 204-2761
- Enumeration Date
- August 18, 2005
- Last Updated
- October 25, 2008
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Psychologist (103TC0700X)