National Provider Identifier

Judith Black Brandzel, MSW LSW BCD

Judith Black Brandzel, MSW LSW BCD is listed in the NPPES registry with a primary specialty of Psychologist in Rochester, NY and a listed phone number of (585) 244-2540.

NPI 1538110341Rochester, NYPsychologist

Profile Overview

NPI
1538110341
Provider Type
Individual
Primary Specialty
Psychologist
Enumeration Date
May 15, 2006
Last Updated
July 08, 2007

Practice Location

  • 130 Allens Creek Office Pk
  • Suite 100
  • Rochester, NY 14618

Phone: (585) 244-2540

Specialties

  • Psychologist (103T00000X)
Full Record
NPI
1538110341
Entity Type
Individual
Last Name
Brandzel
First Name
Judith
Middle Name
Black
Name Prefix
Mrs.
Credential
MSW LSW BCD
Provider Other Last Name
Black
Provider Other First Name
Judith
Provider Other Middle Name
L
Provider Other Name Prefix Text
Mrs.
Provider Other Credential Text
MSW CSW BCD
Provider Other Last Name Type Code
5
Mailing Street Address
130 Allens Creek Office Pk
Mailing Address Line 2
Suite 100
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14618
Mailing Country
US
Mailing Phone
(585) 244-2540
Mailing Fax
(585) 271-1129
Practice Street Address
130 Allens Creek Office Pk
Practice Address Line 2
Suite 100
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14618
Practice Country
US
Practice Phone
(585) 244-2540
Practice Fax
(585) 271-1129
Enumeration Date
May 15, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Psychologist (103T00000X)