| NPI | 1821734963 |
|---|---|
| Former Legal Business Name | LAVERN COLE-RISTUCCIA PSY D |
| Entity Type | Organization |
| Authorized Contact | LAVERN COLE-RISTUCCIA Owner 585-507-2181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2022-05-11 |