National Provider Identifier

Jason C Maedl, LMFT

Jason C Maedl, LMFT is listed in the NPPES registry with a primary specialty of Marriage & Family Therapist in Rochester, NY and a listed phone number of (585) 358-0258.

NPI 1679076913Rochester, NYMarriage & Family Therapist

Profile Overview

NPI
1679076913
Provider Type
Individual
Primary Specialty
Marriage & Family Therapist
Enumeration Date
March 13, 2018
Last Updated
October 26, 2022

Practice Location

  • 95 Allens Creek Road
  • Building 2, Suite 203
  • Rochester, NY 14618

Phone: (585) 358-0258

Mailing Address

  • 97 Kirklees RD
  • Pittsford, NY 14534-1643

Specialties

  • Marriage & Family Therapist (106H00000X)
Full Record
NPI
1679076913
Entity Type
Individual
Last Name
Maedl
First Name
Jason
Middle Name
C
Name Prefix
Mr.
Credential
LMFT
Mailing Street Address
97 Kirklees RD
Mailing City
Pittsford
Mailing State
NY
Mailing ZIP Code
14534-1643
Mailing Country
US
Mailing Phone
(585) 230-3458
Mailing Fax
(585) 304-7450
Practice Street Address
95 Allens Creek Road
Practice Address Line 2
Building 2, Suite 203
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14618
Practice Country
US
Practice Phone
(585) 358-0258
Practice Fax
(585) 304-7450
Enumeration Date
March 13, 2018
Last Updated
October 26, 2022
Sex
Male
Sole Proprietor
Yes
Certification Date
October 26, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Marriage & Family Therapist (106H00000X)