National Provider Identifier
Courtney Marie Canavan
Courtney Marie Canavan is listed in the NPPES registry with a primary specialty of Counselor in Rochester, NY and a listed phone number of (585) 256-7500.
Profile Overview
- NPI
- 1073081857
- Provider Type
- Individual
- Primary Specialty
- Counselor
- Enumeration Date
- November 09, 2018
- Last Updated
- November 09, 2018
Practice Location
- 1 Mustard St
- Rochester, NY 14609-6980
Phone: (585) 256-7500
Specialties
- Counselor (101Y00000X)
Full Record
- NPI
- 1073081857
- Entity Type
- Individual
- Last Name
- Canavan
- First Name
- Courtney
- Middle Name
- Marie
- Mailing Street Address
- 1 Mustard St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14609-6980
- Mailing Country
- US
- Practice Street Address
- 1 Mustard St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14609-6980
- Practice Country
- US
- Practice Phone
- (585) 256-7500
- Enumeration Date
- November 09, 2018
- Last Updated
- November 09, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Counselor (101Y00000X)