Individual
HEATHER ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
601 ELMWOOD AVE, BOX 635, ROCHESTER, NY 14642-0001
(585) 275-7787
Mailing address
601 ELMWOOD AVE, BOX 635, ROCHESTER, NY 14642-0001
(585) 275-7787
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
015472
NY
103G00000X
Clinical Neuropsychologist
15472
NY
103TC0700X
Clinical Psychologist
015472
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02493323
—
NY
01
—
J400024246
MEDICARE PROVIDER PTAN
NY
Enumeration date
07/25/2006
Last updated
07/05/2023
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