National Provider Identifier
Marc Gaudette, PH D
Marc Gaudette, PH D is listed in the NPPES registry with a primary specialty of Clinical Neuropsychologist in Rochester, NY and a listed phone number of (585) 723-7972.
Profile Overview
- NPI
- 1558398321
- Provider Type
- Individual
- Primary Specialty
- Clinical Neuropsychologist
- Enumeration Date
- June 27, 2006
- Last Updated
- March 28, 2015
Practice Location
- 2655 Ridgeway Ave
- Suite 420
- Rochester, NY 14626-4285
Phone: (585) 723-7972
Specialties
- Clinical Neuropsychologist (103G00000X)
- Psychologist (103T00000X)
Full Record
- NPI
- 1558398321
- Entity Type
- Individual
- Last Name
- Gaudette
- First Name
- Marc
- Credential
- PH D
- Mailing Street Address
- 2655 Ridgeway Ave
- Mailing Address Line 2
- Suite 420
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-4285
- Mailing Country
- US
- Mailing Phone
- (585) 723-7972
- Mailing Fax
- (585) 368-3119
- Practice Street Address
- 2655 Ridgeway Ave
- Practice Address Line 2
- Suite 420
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-4285
- Practice Country
- US
- Practice Phone
- (585) 723-7972
- Practice Fax
- (585) 368-3119
- Enumeration Date
- June 27, 2006
- Last Updated
- March 28, 2015
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Neuropsychologist (103G00000X), Psychologist (103T00000X)
- Other Identifiers
- 02307028 (NY)