National Provider Identifier

Elliot Straub Spengler, M.A.

Elliot Straub Spengler, M.A. is listed in the NPPES registry with a primary specialty of Psychologist in Rochester, NY and a listed phone number of (585) 201-8017.

NPI 1427600303Rochester, NYPsychologist

Profile Overview

NPI
1427600303
Provider Type
Individual
Primary Specialty
Psychologist
Enumeration Date
July 11, 2019
Last Updated
September 21, 2023

Practice Location

  • 200 White Spruce Blvd Ste 220
  • Rochester, NY 14623-1605

Phone: (585) 201-8017

Mailing Address

  • 300 Crittenden Blvd Box Psych
  • Rochester, NY 14642-0001

Specialties

  • Psychologist (103T00000X)
Full Record
NPI
1427600303
Entity Type
Individual
Last Name
Spengler
First Name
Elliot
Middle Name
Straub
Credential
M.A.
Mailing Street Address
300 Crittenden Blvd Box Psych
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Mailing Phone
(585) 324-4518
Practice Street Address
200 White Spruce Blvd Ste 220
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14623-1605
Practice Country
US
Practice Phone
(585) 201-8017
Enumeration Date
July 11, 2019
Last Updated
September 21, 2023
Sex
Male
Sole Proprietor
No
Certification Date
September 21, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Psychologist (103T00000X)