National Provider Identifier

Daniel W Mruzek, PHD

Daniel W Mruzek, PHD is listed in the NPPES registry with a primary specialty of Clinical Child & Adolescent Psychologist in Rochester, NY and a listed phone number of (585) 275-7787.

NPI 1699718874Rochester, NYClinical Child & Adolescent Psychologist

Profile Overview

NPI
1699718874
Provider Type
Individual
Primary Specialty
Clinical Child & Adolescent Psychologist
Enumeration Date
June 14, 2006
Last Updated
September 11, 2025

Practice Location

  • 601 Elmwood Ave
  • Box 635
  • Rochester, NY 14642-0001

Phone: (585) 275-7787

Specialties

  • Clinical Child & Adolescent Psychologist (103TC2200X)
  • Clinical Psychologist (103TC0700X)
Full Record
NPI
1699718874
Entity Type
Individual
Last Name
Mruzek
First Name
Daniel
Middle Name
W
Credential
PHD
Mailing Street Address
601 Elmwood Ave
Mailing Address Line 2
Box 635
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Mailing Phone
(585) 275-7787
Practice Street Address
601 Elmwood Ave
Practice Address Line 2
Box 635
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 275-7787
Enumeration Date
June 14, 2006
Last Updated
September 11, 2025
Sex
Male
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Child & Adolescent Psychologist (103TC2200X), Clinical Psychologist (103TC0700X)