National Provider Identifier

Trudy C Wyman

Trudy C Wyman is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Canandaigua, NY and a listed phone number of (585) 394-7500.

NPI 1619303005Canandaigua, NYClinical Social Worker

Profile Overview

NPI
1619303005
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
September 18, 2013
Last Updated
September 18, 2013

Practice Location

  • 3071 County Complex Dr
  • Canandaigua, NY 14424-9505

Phone: (585) 394-7500

Mailing Address

  • 7446 Woolston RD
  • Bloomfield, NY 14469-9775

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1619303005
Entity Type
Individual
Last Name
Wyman
First Name
Trudy
Middle Name
C
Mailing Street Address
7446 Woolston RD
Mailing City
Bloomfield
Mailing State
NY
Mailing ZIP Code
14469-9775
Mailing Country
US
Mailing Phone
(585) 657-1089
Practice Street Address
3071 County Complex Dr
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-9505
Practice Country
US
Practice Phone
(585) 394-7500
Enumeration Date
September 18, 2013
Last Updated
September 18, 2013
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)