National Provider Identifier
Riannon Martin
Riannon Martin is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Buffalo, NY and a listed phone number of (716) 828-0560.
Profile Overview
- NPI
- 1053779843
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- February 08, 2016
- Last Updated
- May 18, 2022
Practice Location
- 2040 Seneca St
- Buffalo, NY 14210-2324
Phone: (716) 828-0560
Mailing Address
- 227 Thorn Avenue Spectrum Health & Human Services
- Orchard Park, NY 14127
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1053779843
- Entity Type
- Individual
- Last Name
- Martin
- First Name
- Riannon
- Provider Other Last Name
- Banas
- Provider Other First Name
- Riannon
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 227 Thorn Avenue Spectrum Health & Human Services
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127
- Mailing Country
- US
- Mailing Phone
- (716) 662-2040
- Mailing Fax
- (716) 662-0019
- Practice Street Address
- 2040 Seneca St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14210-2324
- Practice Country
- US
- Practice Phone
- (716) 828-0560
- Practice Fax
- (716) 828-1522
- Enumeration Date
- February 08, 2016
- Last Updated
- May 18, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 18, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)