National Provider Identifier

Diane Deruyter, LMHC

Diane Deruyter, 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) 434-2633.

NPI 1215540703Rochester, NYMental Health Counselor

Profile Overview

NPI
1215540703
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
August 25, 2020
Last Updated
September 27, 2023

Practice Location

  • 339 East Ave Ste 303
  • Rochester, NY 14604-2615

Phone: (585) 434-2633

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1215540703
Entity Type
Individual
Last Name
Deruyter
First Name
Diane
Credential
LMHC
Mailing Street Address
339 East Ave Ste 303
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14604-2615
Mailing Country
US
Mailing Phone
(585) 434-2633
Mailing Fax
(585) 434-2635
Practice Street Address
339 East Ave Ste 303
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14604-2615
Practice Country
US
Practice Phone
(585) 434-2633
Practice Fax
(585) 434-2635
Enumeration Date
August 25, 2020
Last Updated
September 27, 2023
Sex
Female
Sole Proprietor
No
Certification Date
September 27, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)