National Provider Identifier

Adena E Shoshan, PSYD

Adena E Shoshan, PSYD is listed in the NPPES registry with a primary specialty of Psychologist in Rochester, NY and a listed phone number of (585) 454-9904.

NPI 1407103252Rochester, NYPsychologist

Profile Overview

NPI
1407103252
Provider Type
Individual
Primary Specialty
Psychologist
Enumeration Date
August 11, 2012
Last Updated
August 11, 2012

Practice Location

  • 160 Allens Creek RD
  • Rochester, NY 14618-3309

Phone: (585) 454-9904

Specialties

  • Psychologist (103T00000X)
Full Record
NPI
1407103252
Entity Type
Individual
Last Name
Shoshan
First Name
Adena
Middle Name
E
Name Prefix
Dr.
Credential
PSYD
Mailing Street Address
160 Allens Creek RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14618-3309
Mailing Country
US
Mailing Phone
(585) 454-9904
Mailing Fax
(585) 286-4487
Practice Street Address
160 Allens Creek RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14618-3309
Practice Country
US
Practice Phone
(585) 454-9904
Practice Fax
(585) 286-4487
Enumeration Date
August 11, 2012
Last Updated
August 11, 2012
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Psychologist (103T00000X)
Other Identifiers
12423485 (Caqh)