National Provider Identifier

R. Ethan Naylor

R. Ethan Naylor is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Buffalo, NY and a listed phone number of (716) 881-2405.

NPI 1801042874Buffalo, NYMental Health Counselor

Profile Overview

NPI
1801042874
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
August 11, 2008
Last Updated
August 11, 2008

Practice Location

  • 1487 Main St
  • Buffalo, NY 14209-1723

Phone: (716) 881-2405

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1801042874
Entity Type
Individual
Last Name
Naylor
First Name
R. Ethan
Mailing Street Address
1487 Main St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14209-1723
Mailing Country
US
Mailing Phone
(716) 881-2405
Mailing Fax
(716) 881-2425
Practice Street Address
1487 Main St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14209-1723
Practice Country
US
Practice Phone
(716) 881-2405
Practice Fax
(716) 881-2425
Enumeration Date
August 11, 2008
Last Updated
August 11, 2008
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)