National Provider Identifier

Alisa K. Phelps, Ph.D., Psychologist, PLLC

Alisa K. Phelps, Ph.D., Psychologist, PLLC is listed in the NPPES registry with a primary specialty of Psychologist in Rochester, NY and a listed phone number of (585) 256-1963.

NPI 1891231916Rochester, NYPsychologist

Profile Overview

NPI
1891231916
Provider Type
Organization
Primary Specialty
Psychologist
Enumeration Date
January 12, 2017
Last Updated
January 12, 2017

Practice Location

  • 697 Highland Ave
  • Rochester, NY 14620-3119

Phone: (585) 256-1963

Specialties

  • Psychologist (103T00000X)
Full Record
NPI
1891231916
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Alisa K. Phelps, Ph.D., Psychologist, PLLC
Mailing Street Address
697 Highland Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14620-3119
Mailing Country
US
Mailing Phone
(585) 256-1963
Mailing Fax
(585) 256-9851
Practice Street Address
697 Highland Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-3119
Practice Country
US
Practice Phone
(585) 256-1963
Practice Fax
(585) 256-9851
Enumeration Date
January 12, 2017
Last Updated
January 12, 2017
Authorized Official Last Name
Phelps
Authorized Official First Name
Alisa
Authorized Official Middle Name
Kay
Authorized Official Title
Licensed Psychologist
Authorized Official Phone
(585) 256-1963
Organization Subpart
No
Authorized Official Name Prefix Text
Dr.
Authorized Official Credential Text
PH.D.
Taxonomy Group 1
193400000X Single Specialty Group
Taxonomies
Psychologist (103T00000X)