National Provider Identifier

Lori Renee Costa-Mitrano, PSY.D.

Lori Renee Costa-Mitrano, PSY.D. is listed in the NPPES registry with a primary specialty of Psychologist in Rochester, NY and a listed phone number of (585) 586-2223.

NPI 1972557296Rochester, NYPsychologist

Profile Overview

NPI
1972557296
Provider Type
Individual
Primary Specialty
Psychologist
Enumeration Date
May 20, 2006
Last Updated
May 06, 2015

Practice Location

  • 500 Helendale RD
  • Suite 110
  • Rochester, NY 14609-3173

Phone: (585) 586-2223

Mailing Address

  • 218 Sandoris Cir
  • Rochester, NY 14622-3243

Specialties

  • Psychologist (103T00000X)
Full Record
NPI
1972557296
Entity Type
Individual
Last Name
Costa-Mitrano
First Name
Lori
Middle Name
Renee
Name Prefix
Dr.
Credential
PSY.D.
Mailing Street Address
218 Sandoris Cir
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14622-3243
Mailing Country
US
Mailing Phone
(585) 654-5327
Practice Street Address
500 Helendale RD
Practice Address Line 2
Suite 110
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14609-3173
Practice Country
US
Practice Phone
(585) 586-2223
Practice Fax
(585) 586-2224
Enumeration Date
May 20, 2006
Last Updated
May 06, 2015
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Psychologist (103T00000X)