Individual
LAUREN P WADSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
200 WHITE SPRUCE BLVD, SUITE 220, ROCHESTER, NY 14623-1605
(585) 270-1679
(585) 495-2384
Mailing address
200 WHITE SPRUCE BLVD, SUITE 220, ROCHESTER, NY 14623-1605
(585) 270-1679
(585) 495-2384
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
023260
NY
103TC0700X
Clinical Psychologist
023260
NY
Other
Enumeration date
06/26/2017
Last updated
08/05/2022
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