National Provider Identifier
Sally J Rousseau, SALLY ROUSSEAU
Sally J Rousseau, SALLY ROUSSEAU is listed in the NPPES registry with a primary specialty of Marriage & Family Therapist in Rochester, NY and a listed phone number of (585) 506-9484.
Profile Overview
- NPI
- 1831330257
- Provider Type
- Individual
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- March 14, 2009
- Last Updated
- March 14, 2009
Practice Location
- 1381 South Ave
- Rochester, NY 14620-2830
Phone: (585) 506-9484
Specialties
- Marriage & Family Therapist (106H00000X)
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1831330257
- Entity Type
- Individual
- Last Name
- Rousseau
- First Name
- Sally
- Middle Name
- J
- Credential
- SALLY ROUSSEAU
- Provider Other Last Name
- Rousseau
- Provider Other First Name
- Sally
- Provider Other Middle Name
- J
- Provider Other Credential Text
- SALLY ROUSSEAU, MSW
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 1381 South Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-2830
- Mailing Country
- US
- Mailing Phone
- (585) 506-9484
- Practice Street Address
- 1381 South Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-2830
- Practice Country
- US
- Practice Phone
- (585) 506-9484
- Enumeration Date
- March 14, 2009
- Last Updated
- March 14, 2009
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomies
- Marriage & Family Therapist (106H00000X), Clinical Social Worker (1041C0700X)