Briana Lee Petersdorf, MHC
Student in an Organized Health Care Education/Training Program in Buffalo, NY. Individual provider (NPI-1).
NPI number1619806031
StatusActive
Last updated in NPPESMay 14, 2026
Details
- NPI
- 1619806031
- Entity type
- Individual (NPI-1)
- Name
- Briana Lee Petersdorf
- Credential
- MHC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 14, 2026
- Certification date
- May 14, 2026
- Last updated
- May 14, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | NY | Yes |
Practice location
2495 Main St Ste 417Buffalo, NY 14214-2152
Phone 716-445-3977
Mailing address
2495 Main St Ste 417Buffalo, NY 14214-2152
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