Individual
DORIS ANNE DEVELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
89 GENESEE ST, ROCHESTER, NY 14611-3201
(585) 368-3950
Mailing address
89 GENESEE ST, ROCHESTER, NY 14611-3201
(585) 368-3950
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
464246
NY
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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