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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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