National Provider Identifier

Kaitlin Raines Lilienthal, PHD

Kaitlin Raines Lilienthal, PHD is listed in the NPPES registry with a primary specialty of Psychologist in Ithaca, NY and a listed phone number of (607) 255-5155.

NPI 1710494620Ithaca, NYPsychologist

Profile Overview

NPI
1710494620
Provider Type
Individual
Primary Specialty
Psychologist
Enumeration Date
January 02, 2018
Last Updated
January 02, 2018

Practice Location

  • 110 Ho Plz
  • Ithaca, NY 14853-3102

Phone: (607) 255-5155

Mailing Address

  • 215 Enfield Falls RD
  • Ithaca, NY 14850-8797

Specialties

  • Psychologist (103T00000X)
Full Record
NPI
1710494620
Entity Type
Individual
Last Name
Lilienthal
First Name
Kaitlin
Middle Name
Raines
Name Prefix
Dr.
Credential
PHD
Mailing Street Address
215 Enfield Falls RD
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-8797
Mailing Country
US
Practice Street Address
110 Ho Plz
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14853-3102
Practice Country
US
Practice Phone
(607) 255-5155
Enumeration Date
January 02, 2018
Last Updated
January 02, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Psychologist (103T00000X)