Healthcare Provider Details

I. General information

NPI: 1073436614
Provider Name (Legal Business Name): NEUROKIND CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2743 DIBBLE RD
CORNING NY
14830-9625
US

IV. Provider business mailing address

2743 DIBBLE RD
CORNING NY
14830-9625
US

V. Phone/Fax

Practice location:
  • Phone: 315-749-8143
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. DANIELLE LYNNETTE TERRY
Title or Position: CLINICAL PSYCHOLOGIST
Credential: PHD
Phone: 315-749-8143