Provider Demographics
NPI:1487322640
Name:DOBBERTIN, ANNE M
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:M
Last Name:DOBBERTIN
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 1:9 HURLINGHAM DR
Mailing Address - Street 2:
Mailing Address - City:HONEOYE FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14472-9340
Mailing Address - Country:US
Mailing Address - Phone:585-478-2726
Mailing Address - Fax:
Practice Address - Street 1:9 HURLINGHAM DR
Practice Address - Street 2:
Practice Address - City:HONEOYE FALLS
Practice Address - State:NY
Practice Address - Zip Code:14472-9340
Practice Address - Country:US
Practice Address - Phone:585-478-2726
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-02
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker