Individual
MELISSA BERGQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
224 ALEXANDER ST, ROCHESTER, NY 14607
(585) 922-7770
Mailing address
224 ALEXANDER ST, ROCHESTER, NY 14607-4000
(585) 922-7770
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
025266
NY
Other
Enumeration date
02/20/2017
Last updated
08/09/2024
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