National Provider Identifier

Todd Deneen, PSYD

Todd Deneen, PSYD is listed in the NPPES registry with a primary specialty of Clinical Neuropsychologist in Pittsford, NY and a listed phone number of (585) 749-8372.

NPI 1780053231Pittsford, NYClinical Neuropsychologist

Profile Overview

NPI
1780053231
Provider Type
Individual
Primary Specialty
Clinical Neuropsychologist
Enumeration Date
September 15, 2015
Last Updated
January 29, 2020

Practice Location

  • 20 Office Pkwy Ste 125
  • Pittsford, NY 14534-1781

Phone: (585) 749-8372

Mailing Address

  • 28 Larkspur Ln
  • Fairport, NY 14450-9207

Specialties

  • Clinical Neuropsychologist (103G00000X)
  • Clinical Psychologist (103TC0700X)
  • Independent Medical Examiner Physician (202C00000X)
  • Psychologist (103T00000X)
Full Record
NPI
1780053231
Entity Type
Individual
Last Name
Deneen
First Name
Todd
Name Prefix
Dr.
Credential
PSYD
Mailing Street Address
28 Larkspur Ln
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-9207
Mailing Country
US
Mailing Phone
(585) 749-8372
Practice Street Address
20 Office Pkwy Ste 125
Practice City
Pittsford
Practice State
NY
Practice ZIP Code
14534-1781
Practice Country
US
Practice Phone
(585) 749-8372
Enumeration Date
September 15, 2015
Last Updated
January 29, 2020
Sex
Male
Sole Proprietor
No
Certification Date
January 29, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Neuropsychologist (103G00000X), Clinical Psychologist (103TC0700X), Independent Medical Examiner Physician (202C00000X), Psychologist (103T00000X)
Other Identifiers
S22010-3I (NY, Worker'S Compensation Board Ime Authorization Number)