Organization
GENESEE VALLEY PSYCHOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAUREN P WADSWORTH PHD (DIRECTOR/OWNER OF GENESSE VALLEY PS)
(585) 270-1679
Entity
Organization
Contact information
Practice address
200 WHITE SPRUCE BLVD, SUITE 220, ROCHESTER, NY 14623
(585) 201-8017
(585) 495-2384
Mailing address
200 WHITE SPRUCE BLVD, SUITE 220, ROCHESTER, NY 14623
(585) 201-8017
(585) 495-2384
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06508112
—
NY
Enumeration date
10/05/2019
Last updated
08/05/2022
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