National Provider Identifier

Steven Fedchak, PSY.D.

Steven Fedchak, PSY.D. is listed in the NPPES registry with a primary specialty of Clinical Child & Adolescent Psychologist in Rochester, NY and a listed phone number of (716) 541-4743.

NPI 1063290716Rochester, NYClinical Child & Adolescent Psychologist

Profile Overview

NPI
1063290716
Provider Type
Individual
Primary Specialty
Clinical Child & Adolescent Psychologist
Enumeration Date
September 14, 2023
Last Updated
September 14, 2023

Practice Location

  • 200 E River RD
  • Rochester, NY 14623-1212

Phone: (716) 541-4743

Mailing Address

  • 601 Elmwood Ave Box 671
  • Rochester, NY 14642-0001

Specialties

  • Clinical Child & Adolescent Psychologist (103TC2200X)
Full Record
NPI
1063290716
Entity Type
Individual
Last Name
Fedchak
First Name
Steven
Name Prefix
Dr.
Credential
PSY.D.
Mailing Street Address
601 Elmwood Ave Box 671
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Practice Street Address
200 E River RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14623-1212
Practice Country
US
Practice Phone
(716) 541-4743
Enumeration Date
September 14, 2023
Last Updated
September 14, 2023
Sex
Male
Sole Proprietor
No
Certification Date
September 14, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Child & Adolescent Psychologist (103TC2200X)