Provider Demographics
NPI:1215183082
Name:WEISHAAR, DOROTHY (LMHC, NCC)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:
Last Name:WEISHAAR
Suffix:
Gender:F
Credentials:LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1296 E VICTOR RD STE C
Mailing Address - Street 2:
Mailing Address - City:VICTOR
Mailing Address - State:NY
Mailing Address - Zip Code:14564-9457
Mailing Address - Country:US
Mailing Address - Phone:585-298-2406
Mailing Address - Fax:
Practice Address - Street 1:1296 E VICTOR RD STE C
Practice Address - Street 2:
Practice Address - City:VICTOR
Practice Address - State:NY
Practice Address - Zip Code:14564-9457
Practice Address - Country:US
Practice Address - Phone:585-298-2406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002796101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health