Healthcare Provider Details

I. General information

NPI: 1902045537
Provider Name (Legal Business Name): SCL ASSOCIATES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2009
Last Update Date: 02/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 BLUE AVOCADO LN
ROCHESTER NY
14623-3908
US

IV. Provider business mailing address

15 BLUE AVOCADO LN
ROCHESTER NY
14623-3908
US

V. Phone/Fax

Practice location:
  • Phone: 585-752-9263
  • Fax: 585-321-3658
Mailing address:
  • Phone: 585-752-9263
  • Fax: 585-321-3658

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number027714-1
License Number StateNY

VIII. Authorized Official

Name: MS. SHARLENE ANNE CAIAZZA-LEHNING
Title or Position: PRESIDENT
Credential: LMSW
Phone: 585-752-9263