National Provider Identifier

Susan Jeanne Rea, MFT

Susan Jeanne Rea, MFT is listed in the NPPES registry with a primary specialty of Marriage & Family Therapist in Canandaigua, NY and a listed phone number of (585) 394-0065.

NPI 1013126689Canandaigua, NYMarriage & Family Therapist

Profile Overview

NPI
1013126689
Provider Type
Individual
Primary Specialty
Marriage & Family Therapist
Enumeration Date
May 21, 2007
Last Updated
July 08, 2007

Practice Location

  • 4285 W Lake RD
  • Canandaigua, NY 14424-8353

Phone: (585) 394-0065

Specialties

  • Marriage & Family Therapist (106H00000X)
Full Record
NPI
1013126689
Entity Type
Individual
Last Name
Rea
First Name
Susan
Middle Name
Jeanne
Name Prefix
MS.
Credential
MFT
Mailing Street Address
4285 W Lake RD
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-8353
Mailing Country
US
Mailing Phone
(585) 394-0065
Practice Street Address
4285 W Lake RD
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-8353
Practice Country
US
Practice Phone
(585) 394-0065
Enumeration Date
May 21, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Marriage & Family Therapist (106H00000X)