National Provider Identifier
Gwen Ellen Martone Mazza, LMHC
Gwen Ellen Martone Mazza, LMHC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Rochester, NY and a listed phone number of (585) 713-5544.
Profile Overview
- NPI
- 1194932251
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- May 17, 2007
- Last Updated
- July 08, 2007
Practice Location
- 2024 W Henrietta RD
- Suite 3-F
- Rochester, NY 14623-1355
Phone: (585) 713-5544
Mailing Address
- 34 Kirkgate Dr
- Spencerport, NY 14559-2124
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1194932251
- Entity Type
- Individual
- Last Name
- Martone Mazza
- First Name
- Gwen
- Middle Name
- Ellen
- Name Prefix
- MS.
- Credential
- LMHC
- Mailing Street Address
- 34 Kirkgate Dr
- Mailing City
- Spencerport
- Mailing State
- NY
- Mailing ZIP Code
- 14559-2124
- Mailing Country
- US
- Mailing Phone
- (585) 349-2280
- Mailing Fax
- (585) 723-5544
- Practice Street Address
- 2024 W Henrietta RD
- Practice Address Line 2
- Suite 3-F
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623-1355
- Practice Country
- US
- Practice Phone
- (585) 713-5544
- Practice Fax
- (585) 723-5544
- Enumeration Date
- May 17, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)