National Provider Identifier

Michael John Teisl, PHD

Michael John Teisl, PHD is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Rochester, NY and a listed phone number of (585) 275-5228.

NPI 1528392412Rochester, NYClinical Psychologist

Profile Overview

NPI
1528392412
Provider Type
Individual
Primary Specialty
Clinical Psychologist
Enumeration Date
September 24, 2009
Last Updated
March 29, 2011

Practice Location

  • 300 Crittenden Blvd
  • Rochester, NY 14642-0001

Phone: (585) 275-5228

Mailing Address

  • 601 Elmwood Ave
  • Box: Psych
  • Rochester, NY 14642-0001

Specialties

  • Clinical Psychologist (103TC0700X)
  • Clinical Psychologist (103TC0700X)
Full Record
NPI
1528392412
Entity Type
Individual
Last Name
Teisl
First Name
Michael
Middle Name
John
Credential
PHD
Mailing Street Address
601 Elmwood Ave
Mailing Address Line 2
Box: Psych
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Mailing Phone
(585) 275-5228
Mailing Fax
(585) 276-0161
Practice Street Address
300 Crittenden Blvd
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 275-5228
Enumeration Date
September 24, 2009
Last Updated
March 29, 2011
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Psychologist (103TC0700X), Clinical Psychologist (103TC0700X)
Other Identifiers
03166718 (NY)