National Provider Identifier

Alex Walkley Dedicke

Alex Walkley Dedicke is listed in the NPPES registry with a primary specialty of Counselor in Rochester, NY and a listed phone number of (585) 922-7770.

NPI 1790268928Rochester, NYCounselor

Profile Overview

NPI
1790268928
Provider Type
Individual
Primary Specialty
Counselor
Enumeration Date
September 13, 2018
Last Updated
April 25, 2020

Practice Location

  • 224 Alexander St
  • Rochester, NY 14607-4000

Phone: (585) 922-7770

Specialties

  • Counselor (101Y00000X)
  • Music Therapist (225A00000X)
Full Record
NPI
1790268928
Entity Type
Individual
Last Name
Dedicke
First Name
Alex
Middle Name
Walkley
Mailing Street Address
224 Alexander St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14607-4000
Mailing Country
US
Practice Street Address
224 Alexander St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14607-4000
Practice Country
US
Practice Phone
(585) 922-7770
Enumeration Date
September 13, 2018
Last Updated
April 25, 2020
Sex
Male
Sole Proprietor
No
Certification Date
April 25, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Counselor (101Y00000X), Music Therapist (225A00000X)