Organization
ROCHESTER PSYCHOLOGICAL ASSOCIATES PLLC
Active
Other names
RPA
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER LYNN DUMBLETON (ADMINISTATIVE ASSISTANT)
(585) 223-5920
Entity
Organization
Contact information
Practice address
620 CROSSKEYS OFFICE PARK, FAIRPORT, NY 14450
(585) 223-5920
(585) 223-5727
Mailing address
620 CROSSKEYS OFFICE PARK, FAIRPORT, NY 14450
(585) 223-5920
(585) 223-5727
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G0189452590
BLUE CROSS BLUE SHIELD
NY
Enumeration date
10/24/2006
Last updated
03/01/2012
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