| Stephen R. Gaylord L.c.s.w. Pllc | |
|
4 Chelmsford Rd Ste 2 Rochester NY 14618-1755 | |
| (585) 435-4058 | |
| Not Available |
| Full Name | Stephen R. Gaylord L.c.s.w. Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4 Chelmsford Rd Ste 2, Rochester, New York |
| Authorized Official Name and Position | Stephen R. Gaylord (MENTAL HEALTH CLINICIAN) |
| Authorized Official Contact | 5853149713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen R. Gaylord L.c.s.w. Pllc 277 Aldine St Rochester NY 14619-1234 Ph: (585) 314-9713 | Stephen R. Gaylord L.c.s.w. Pllc 4 Chelmsford Rd Ste 2 Rochester NY 14618-1755 Ph: (585) 435-4058 |
| NPI Number | 1285216341 |
|---|---|
| Provider Enumeration Date | 04/27/2021 |
| Last Update Date | 04/27/2021 |
| Certification Date | 04/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285216341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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