National Provider Identifier
Lisa D Maynard
Lisa D Maynard is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 507-7588.
Profile Overview
- NPI
- 1558733352
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- October 20, 2015
- Last Updated
- October 20, 2015
Practice Location
- 20 Goodman St N
- Rochester, NY 14607-1577
Phone: (585) 507-7588
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1558733352
- Entity Type
- Individual
- Last Name
- Maynard
- First Name
- Lisa
- Middle Name
- D
- Mailing Street Address
- 20 Goodman St N
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14607-1577
- Mailing Country
- US
- Mailing Phone
- (585) 507-7588
- Practice Street Address
- 20 Goodman St N
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14607-1577
- Practice Country
- US
- Practice Phone
- (585) 507-7588
- Enumeration Date
- October 20, 2015
- Last Updated
- October 20, 2015
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)