National Provider Identifier
Autumn Marie Gallegos Greenwich, PH.D.
Autumn Marie Gallegos Greenwich, PH.D. is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Canandaigua, NY and a listed phone number of (585) 275-6671.
Profile Overview
- NPI
- 1376891754
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- August 16, 2012
- Last Updated
- July 06, 2023
Practice Location
- 400 Fort Hill Ave
- Canandaigua, NY 14424-1159
Phone: (585) 275-6671
Specialties
- Clinical Psychologist (103TC0700X)
- Clinical Psychologist (103TC0700X)
Endpoints
- agallegos5754@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1376891754
- Entity Type
- Individual
- Last Name
- Gallegos Greenwich
- First Name
- Autumn
- Middle Name
- Marie
- Name Prefix
- Dr.
- Credential
- PH.D.
- Provider Other Last Name
- Gallegos
- Provider Other First Name
- Autumn
- Provider Other Middle Name
- Marie
- Provider Other Name Prefix Text
- Dr.
- Provider Other Credential Text
- PH.D.
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 400 Fort Hill Ave
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-1159
- Mailing Country
- US
- Mailing Phone
- (585) 275-6671
- Mailing Fax
- (585) 273-1082
- Practice Street Address
- 400 Fort Hill Ave
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1159
- Practice Country
- US
- Practice Phone
- (585) 275-6671
- Practice Fax
- (585) 273-1082
- Enumeration Date
- August 16, 2012
- Last Updated
- July 06, 2023
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Psychologist (103TC0700X), Clinical Psychologist (103TC0700X)