National Provider Identifier

Stacey Proctor

Stacey Proctor is listed in the NPPES registry with a primary specialty of Counselor in Buffalo, NY and a listed phone number of (716) 836-3247.

NPI 1639355324Buffalo, NYCounselor

Profile Overview

NPI
1639355324
Provider Type
Individual
Primary Specialty
Counselor
Enumeration Date
January 13, 2008
Last Updated
January 13, 2008

Practice Location

  • 3297 Bailey Ave
  • Buffalo, NY 14215-1139

Phone: (716) 836-3247

Mailing Address

  • 3020 Bailey Ave
  • Buffalo, NY 14215-2814

Specialties

  • Counselor (101Y00000X)
Full Record
NPI
1639355324
Entity Type
Individual
Last Name
Proctor
First Name
Stacey
Mailing Street Address
3020 Bailey Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215-2814
Mailing Country
US
Mailing Phone
(716) 831-1800
Practice Street Address
3297 Bailey Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-1139
Practice Country
US
Practice Phone
(716) 836-3247
Enumeration Date
January 13, 2008
Last Updated
January 13, 2008
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Counselor (101Y00000X)