Provider Demographics
NPI:1780017814
Name:TOCCO, ROBERT V (LMFT)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:V
Last Name:TOCCO
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:671 EXCHANGE ST
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:NY
Mailing Address - Zip Code:14456-3414
Mailing Address - Country:US
Mailing Address - Phone:315-789-2613
Mailing Address - Fax:315-789-2524
Practice Address - Street 1:671 EXCHANGE ST
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:NY
Practice Address - Zip Code:14456-3414
Practice Address - Country:US
Practice Address - Phone:315-789-2613
Practice Address - Fax:315-789-2524
Is Sole Proprietor?:No
Enumeration Date:2013-08-13
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000498-1106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist