National Provider Identifier

Tracy Lee Gillette, PH.D.

Tracy Lee Gillette, PH.D. is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Spencerport, NY and a listed phone number of (585) 617-4442.

NPI 1568767499Spencerport, NYMental Health Counselor

Profile Overview

NPI
1568767499
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
January 25, 2011
Last Updated
January 04, 2017

Practice Location

  • 115 Webster RD.
  • Spencerport, NY 14559

Phone: (585) 617-4442

Specialties

  • Mental Health Counselor (101YM0800X)
  • Professional Counselor (101YP2500X)
  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1568767499
Entity Type
Individual
Last Name
Gillette
First Name
Tracy
Middle Name
Lee
Name Prefix
Dr.
Credential
PH.D.
Mailing Street Address
115 Webster RD.
Mailing City
Spencerport
Mailing State
NY
Mailing ZIP Code
14559
Mailing Country
US
Mailing Phone
(585) 617-4442
Mailing Fax
(585) 617-4442
Practice Street Address
115 Webster RD.
Practice City
Spencerport
Practice State
NY
Practice ZIP Code
14559
Practice Country
US
Practice Phone
(585) 617-4442
Practice Fax
(585) 617-4442
Enumeration Date
January 25, 2011
Last Updated
January 04, 2017
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X), Professional Counselor (101YP2500X), Speech-Language Pathologist (235Z00000X)