DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. PAUL THADDEUS POVINELLI, PH.D.

Active Sole Proprietor

DR. PAUL THADDEUS POVINELLI, PH.D. is a Clinical Psychologist healthcare provider located in TRUMANSBURG, New York. NPI 1639255524 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · TRUMANSBURG, NY

Registration Details

NPI Number
1639255524
Provider Type
Individual
Gender
Male
NPI Issued
Oct 31, 2006 (19.803521374742 yrs)
Last Updated
Jul 8, 2007
License
NY8450 (NY)
Sole Proprietor
Yes

Practice Information

Address
45 CONGRESS ST
TRUMANSBURG, NY, 148869103
Browse NY providers · Browse ZIP 14886
Phone
6073875741
Fax
6073875575
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in TRUMANSBURG, NY

Name Credential NPI
DR. PHILIP CHARLES YORKE PH. D. 1174733018
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.