Individual provider · Type 1 NPI

Dianne Elizabeth Moultrie

Peer Specialist · Rochester, NY

NPI number 1013761113 Active

Practice location

72 Hinchey Rd
Rochester, NY 14624-2930

Call (585) 627-1777 Map

Fax (585) 625-0843

Mailing address

72 Hinchey Rd Bldg B
Rochester, NY 14624-2930

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1013761113

Dianne Elizabeth Moultrie's National Provider Identifier is 1013761113, issued on Apr 15, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Rochester, NY. The record was last updated on Aug 3, 2026.