National Provider Identifier

Marcy Ann Bush, PHD

Marcy Ann Bush, PHD is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Pittsford, NY and a listed phone number of (585) 383-0030.

NPI 1174650352Pittsford, NYClinical Psychologist

Profile Overview

NPI
1174650352
Provider Type
Individual
Primary Specialty
Clinical Psychologist
Enumeration Date
February 27, 2007
Last Updated
July 08, 2007

Practice Location

  • One Lookwood Drive
  • Suite 100
  • Pittsford, NY 14534

Phone: (585) 383-0030

Mailing Address

  • 110 Glenhill Drive
  • Rochester, NY 14618

Specialties

  • Clinical Psychologist (103TC0700X)
Full Record
NPI
1174650352
Entity Type
Individual
Last Name
Bush
First Name
Marcy
Middle Name
Ann
Name Prefix
Dr.
Credential
PHD
Mailing Street Address
110 Glenhill Drive
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14618
Mailing Country
US
Mailing Phone
(585) 473-0481
Practice Street Address
One Lookwood Drive
Practice Address Line 2
Suite 100
Practice City
Pittsford
Practice State
NY
Practice ZIP Code
14534
Practice Country
US
Practice Phone
(585) 383-0030
Practice Fax
(585) 383-1858
Enumeration Date
February 27, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Psychologist (103TC0700X)
Other Identifiers
7165336 (NY, Aetna)