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NPI Code Detail

MEDICARE: LYNNE WHEELER LMHC,CGP

MEDICARE: LYNNE WHEELER LMHC,CGP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor003012NY

General Provider Information

NPI Number : 1487810701
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNNE WHEELER LMHC,CGP
Provider Business Mailing Address
First Line : 100 PINEWILD DR
Second Line : SUITE 2A
City : ROCHESTER
State : NY
Zip : 14606-4200
Country : US
Telephone Number : 585-368-6721
Fax Number :
Provider Business Practice Location Address
First Line : 100 PINEWILD DR
Second Line : SUITE 2A
City : ROCHESTER
State : NY
Zip : 14606-4200
Country : US
Telephone Number : 585-368-6721
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2008
Last Update Date : 08/06/2008

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