Provider Demographics
NPI:1659887107
Name:APPLETON, EILEEN
Entity Type:Individual
Prefix:
First Name:EILEEN
Middle Name:
Last Name:APPLETON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 ALLENS CREEK ROAD
Mailing Address - Street 2:BUILDING 2, SUITE 14
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-1410
Mailing Address - Country:US
Mailing Address - Phone:585-568-7070
Mailing Address - Fax:
Practice Address - Street 1:95 ALLENS CREEK ROAD
Practice Address - Street 2:BUILDING 2, SUITE 14
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-2687
Practice Address - Country:US
Practice Address - Phone:585-760-4085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-20
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0801501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical