Doctor Name: | MS. CONSTANCE MENEGAUX |
NPI Number: | 1003139783 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MLSW |
License Number: | 064830-1 |
Business Practice Address: | 301 Cayuga Rd Suite 200 Cheektowaga, NY - 142251950 |
Business Phone Number: | 7168193420 |
Business Fax Number: | 7168193430 |
Mailing Address: | 3350 Main St, BUFFALO |
State: | NY |
Postal Code: | 142141316 |
Phone Number: | 7168354011 |
Fax Number: | 7168350253 |
NPI Enumeration Date: | 03/09/2010 |
NPI Last Update Date: | 11/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 064830-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |