National Provider Identifier
Bruce Teall, LCSW
Bruce Teall, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Penfield, NY and a listed phone number of (585) 314-4618.
Profile Overview
- NPI
- 1235193962
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- April 12, 2006
- Last Updated
- July 08, 2007
Practice Location
- 401 Penfield Dr.
- Bldg #3
- Penfield, NY 14526
Phone: (585) 314-4618
Mailing Address
- 11 Seneca Ave
- Geneseo, NY 14454-9508
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1235193962
- Entity Type
- Individual
- Last Name
- Teall
- First Name
- Bruce
- Name Prefix
- Mr.
- Credential
- LCSW
- Mailing Street Address
- 11 Seneca Ave
- Mailing City
- Geneseo
- Mailing State
- NY
- Mailing ZIP Code
- 14454-9508
- Mailing Country
- US
- Mailing Phone
- (585) 314-4618
- Practice Street Address
- 401 Penfield Dr.
- Practice Address Line 2
- Bldg #3
- Practice City
- Penfield
- Practice State
- NY
- Practice ZIP Code
- 14526
- Practice Country
- US
- Practice Phone
- (585) 314-4618
- Enumeration Date
- April 12, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)