National Provider Identifier

Michael Dahl

Michael Dahl is listed in the NPPES registry with a primary specialty of Psychologist in Rochester, NY and a listed phone number of (585) 241-1691.

NPI 1053819656Rochester, NYPsychologist

Profile Overview

NPI
1053819656
Provider Type
Individual
Primary Specialty
Psychologist
Enumeration Date
January 29, 2018
Last Updated
January 29, 2018

Practice Location

  • 1111 Elmwood Ave
  • Rochester, NY 14620-3005

Phone: (585) 241-1691

Specialties

  • Psychologist (103T00000X)
Full Record
NPI
1053819656
Entity Type
Individual
Last Name
Dahl
First Name
Michael
Mailing Street Address
1111 Elmwood Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14620-3005
Mailing Country
US
Mailing Phone
(585) 241-1691
Practice Street Address
1111 Elmwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-3005
Practice Country
US
Practice Phone
(585) 241-1691
Enumeration Date
January 29, 2018
Last Updated
January 29, 2018
Sex
Male
Sole Proprietor
No
Taxonomies
Psychologist (103T00000X)