Doctor Name: | MR. RICHARD PETER TOMASELLI |
NPI Number: | 1871846576 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A., M.S. |
License Number: | |
Business Practice Address: | 1232 Pittsford Mendon Center Rd Honeoye Falls, NY - 144729364 |
Business Phone Number: | 5855821561 |
Business Fax Number: | |
Mailing Address: | 1232 Pittsford Mendon Center Rd, HONEOYE FALLS |
State: | NY |
Postal Code: | 144729364 |
Phone Number: | 5855821561 |
Fax Number: | |
NPI Enumeration Date: | 10/18/2012 |
NPI Last Update Date: | 10/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |