National Provider Identifier
Lisle Kingery, PHD
Lisle Kingery, PHD is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Geneva, NY and a listed phone number of (315) 521-6100.
Profile Overview
- NPI
- 1750117248
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- September 11, 2024
- Last Updated
- September 11, 2024
Practice Location
- 617 Castle St
- Geneva, NY 14456-1403
Phone: (315) 521-6100
Specialties
- Clinical Psychologist (103TC0700X)
Full Record
- NPI
- 1750117248
- Entity Type
- Individual
- Last Name
- Kingery
- First Name
- Lisle
- Name Prefix
- Dr.
- Credential
- PHD
- Mailing Street Address
- 617 Castle St
- Mailing City
- Geneva
- Mailing State
- NY
- Mailing ZIP Code
- 14456-1403
- Mailing Country
- US
- Practice Street Address
- 617 Castle St
- Practice City
- Geneva
- Practice State
- NY
- Practice ZIP Code
- 14456-1403
- Practice Country
- US
- Practice Phone
- (315) 521-6100
- Enumeration Date
- September 11, 2024
- Last Updated
- September 11, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- September 11, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Psychologist (103TC0700X)