Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HEATHER ANNE GENNUSO, LMHC
Active Sole ProprietorResidential Treatment, Emotionally Disturbed Children · BUFFALO, NY
Registration Details
- NPI Number
- 1659146744
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 17, 2023 (2.4275324413224 yrs)
- Last Updated
- Nov 17, 2023
- License
-
001685 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
824 DELAWARE AVEBUFFALO, NY, 142092006Browse NY providers · Browse ZIP 14209
- Phone
- 7163595900
- Primary Specialty
-
Residential Treatment, Emotionally Disturbed Children
322D00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.