Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | 016641-1 | NY |
NPI | 1235148107 |
---|---|
Provider Name | Patricia A Gaudieri |
First Address | Rochester, NY 14642-8409 |
Second Address | Rochester, NY 14642-8409 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2006 |
Last Update Date | 25/02/2008 |