Provider Demographics
NPI:1255110284
Name:NYUMAH, ROBERT S (LMFT)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:S
Last Name:NYUMAH
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 1:104 EAST AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14604-2502
Mailing Address - Country:US
Mailing Address - Phone:585-604-7287
Mailing Address - Fax:
Practice Address - Street 1:1790 PENFIELD RD STE 2
Practice Address - Street 2:
Practice Address - City:PENFIELD
Practice Address - State:NY
Practice Address - Zip Code:14526-2154
Practice Address - Country:US
Practice Address - Phone:585-604-7287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-28
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002084106H00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist