| Doctor Name: | MS. RICHELLE TORDOFF |
| NPI Number: | 1053792994 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 1594352 |
| Business Practice Address: | 2049 George Urban Blvd Depew, NY - 140431823 |
| Business Phone Number: | 7169018803 |
| Business Fax Number: | 7169018800 |
| Mailing Address: | 308 Saint Lawrence Ave, BUFFALO |
| State: | NY |
| Postal Code: | 142161455 |
| Phone Number: | 7168465747 |
| Fax Number: | |
| NPI Enumeration Date: | 06/16/2015 |
| NPI Last Update Date: | 06/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | 1594352 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |