National Provider Identifier
Stephanie L. I. Massara-Polyachenko, MHC-P
Stephanie L. I. Massara-Polyachenko, MHC-P is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Buffalo, NY and a listed phone number of (716) 893-0062.
Profile Overview
- NPI
- 1154957561
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- March 17, 2020
- Last Updated
- March 17, 2020
Practice Location
- 463 William St
- Buffalo, NY 14204-1811
Phone: (716) 893-0062
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1154957561
- Entity Type
- Individual
- Last Name
- Massara-Polyachenko
- First Name
- Stephanie
- Middle Name
- L. I.
- Name Prefix
- Mrs.
- Credential
- MHC-P
- Provider Other Last Name
- Massara-Polyachenko
- Provider Other First Name
- Stephanie
- Provider Other Middle Name
- L. I.
- Provider Other Name Prefix Text
- Miss
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 463 William St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14204-1811
- Mailing Country
- US
- Mailing Phone
- (716) 893-0062
- Practice Street Address
- 463 William St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14204-1811
- Practice Country
- US
- Practice Phone
- (716) 893-0062
- Enumeration Date
- March 17, 2020
- Last Updated
- March 17, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 17, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)