National Provider Identifier
Caroll Ann Revak, PH.D.
Caroll Ann Revak, PH.D. is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Rochester, NY and a listed phone number of (585) 426-8460.
Source: public NPPES record, last updated July 08, 2007. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1205863800
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- June 27, 2006
- Last Updated
- July 08, 2007
Practice Location
- 1 Saredon Pl
- Suite 300
- Rochester, NY 14606-4070
Phone: (585) 426-8460
Specialties
- Clinical Psychologist (103TC0700X)
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Full Record
- NPI
- 1205863800
- Entity Type
- Individual
- Last Name
- Revak
- First Name
- Caroll
- Middle Name
- Ann
- Name Prefix
- Dr.
- Credential
- PH.D.
- Mailing Street Address
- 1 Saredon Pl
- Mailing Address Line 2
- Suite 300
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14606-4070
- Mailing Country
- US
- Mailing Phone
- (585) 426-8460
- Mailing Fax
- (585) 426-8460
- Practice Street Address
- 1 Saredon Pl
- Practice Address Line 2
- Suite 300
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14606-4070
- Practice Country
- US
- Practice Phone
- (585) 426-8460
- Practice Fax
- (585) 426-8460
- Enumeration Date
- June 27, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Psychologist (103TC0700X)
- Other Identifiers
- 100242FC (NY, Preferred Care), 7700518 (NY, Doctor'S Health Plan Mvp), 7760102 (NY, Aetna)