National Provider Identifier
Christa Liseno, PSYD
Christa Liseno, PSYD is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Canandaigua, NY and a listed phone number of (585) 394-1442.
Profile Overview
- NPI
- 1942588058
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- July 25, 2011
- Last Updated
- April 23, 2019
Practice Location
- 3180 West St
- Canandaigua, NY 14424-1722
Phone: (585) 394-1442
Specialties
- Clinical Psychologist (103TC0700X)
Full Record
- NPI
- 1942588058
- Entity Type
- Individual
- Last Name
- Liseno
- First Name
- Christa
- Credential
- PSYD
- Provider Other Last Name
- Dinolfo
- Provider Other First Name
- Christa
- Provider Other Credential Text
- PSYD
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 3180 West St
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-1722
- Mailing Country
- US
- Mailing Phone
- (585) 394-1442
- Mailing Fax
- (585) 394-1257
- Practice Street Address
- 3180 West St
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1722
- Practice Country
- US
- Practice Phone
- (585) 394-1442
- Practice Fax
- (585) 394-1257
- Enumeration Date
- July 25, 2011
- Last Updated
- April 23, 2019
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Psychologist (103TC0700X)