National Provider Identifier

Penelope A Krainin, PH.D.

Penelope A Krainin, PH.D. is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Ithaca, NY and a listed phone number of (607) 273-3188.

NPI 1770806861Ithaca, NYClinical Psychologist

Profile Overview

NPI
1770806861
Provider Type
Individual
Primary Specialty
Clinical Psychologist
Enumeration Date
March 04, 2010
Last Updated
March 04, 2010

Practice Location

  • 110 N Cayuga St
  • 4Th Floor
  • Ithaca, NY 14850-4326

Phone: (607) 273-3188

Specialties

  • Clinical Psychologist (103TC0700X)
Full Record
NPI
1770806861
Entity Type
Individual
Last Name
Krainin
First Name
Penelope
Middle Name
A
Credential
PH.D.
Provider Other Last Name
Krainin
Provider Other First Name
Penny
Provider Other Credential Text
PH.D.
Provider Other Last Name Type Code
5
Mailing Street Address
110 N Cayuga St
Mailing Address Line 2
4Th Floor
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-4326
Mailing Country
US
Mailing Phone
(607) 351-7936
Practice Street Address
110 N Cayuga St
Practice Address Line 2
4Th Floor
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-4326
Practice Country
US
Practice Phone
(607) 273-3188
Practice Fax
(607) 539-6724
Enumeration Date
March 04, 2010
Last Updated
March 04, 2010
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Psychologist (103TC0700X)