National Provider Identifier

Jeannette Aydelotte Burr, PH.D.

Jeannette Aydelotte Burr, PH.D. is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Rochester, NY and a listed phone number of (585) 233-7420.

NPI 1639132707Rochester, NYClinical Psychologist

Profile Overview

NPI
1639132707
Provider Type
Individual
Primary Specialty
Clinical Psychologist
Enumeration Date
April 10, 2006
Last Updated
May 24, 2013

Practice Location

  • 120 Allens Creek RD
  • Rochester, NY 14618-3306

Phone: (585) 233-7420

Specialties

  • Clinical Psychologist (103TC0700X)
Full Record
NPI
1639132707
Entity Type
Individual
Last Name
Burr
First Name
Jeannette
Middle Name
Aydelotte
Name Prefix
Dr.
Credential
PH.D.
Mailing Street Address
120 Allens Creek RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14618-3306
Mailing Country
US
Mailing Phone
(585) 233-7420
Practice Street Address
120 Allens Creek RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14618-3306
Practice Country
US
Practice Phone
(585) 233-7420
Enumeration Date
April 10, 2006
Last Updated
May 24, 2013
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Psychologist (103TC0700X)
Other Identifiers
015363 (NY, Nys License #), P010115363 (NY, BCBS Provider #)