Provider Demographics
NPI:1770670796
Name:GAESSER, DAVID LOUIS (M & F THERAPIST)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:LOUIS
Last Name:GAESSER
Suffix:
Gender:M
Credentials:M & F THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 FRENCH ROAD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-3821
Mailing Address - Country:US
Mailing Address - Phone:585-248-8690
Mailing Address - Fax:585-248-8690
Practice Address - Street 1:111 FRENCH ROAD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-3821
Practice Address - Country:US
Practice Address - Phone:585-248-8690
Practice Address - Fax:585-248-8690
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001008101YM0800X
NY000237106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist