| Doctor Name: | DR. SHEILA CLONAN |
| NPI Number: | 1457729717 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 021152-1 |
| Business Practice Address: | 2070 Glenwood Dr Cazenovia, NY - 130359308 |
| Business Phone Number: | 3153459686 |
| Business Fax Number: | |
| Mailing Address: | 2070 Glenwood Dr, CAZENOVIA |
| State: | NY |
| Postal Code: | 130359308 |
| Phone Number: | 3153459686 |
| Fax Number: | |
| NPI Enumeration Date: | 09/03/2015 |
| NPI Last Update Date: | 09/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | 021152-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |