Individual
JENNIFER C. WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0002
(585) 275-6733
Mailing address
601 ELMWOOD AVE, BOX PSYCH, ROCHESTER, NY 14642-0001
(585) 275-6733
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
015466
NY
103T00000X
Psychologist
15466
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02506949
—
NY
01
—
MDH743
PREFERRED CARE, ROCH, NY
NY
01
—
P010015466
BLUE CHOICE EXCELLUS, ROC
NY
Enumeration date
06/16/2006
Last updated
07/05/2023
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