| Douglas Psychotherapy Services, Lcsw, Pc | |
|
1199 Park Ave Suite 1c New York NY 10128 | |
| (212) 828-7473 | |
| Not Available |
| Full Name | Douglas Psychotherapy Services, Lcsw, Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1199 Park Ave, New York, New York |
| Authorized Official Name and Position | Peter-alexander D Douglas (DIRECTOR) |
| Authorized Official Contact | 2128287473 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Psychotherapy Services, Lcsw, Pc 1199 Park Ave Suite 1c New York NY 10128 Ph: (212) 828-7473 | Douglas Psychotherapy Services, Lcsw, Pc 1199 Park Ave Suite 1c New York NY 10128 Ph: (212) 828-7473 |
| NPI Number | 1972884153 |
|---|---|
| Provider Enumeration Date | 09/01/2011 |
| Last Update Date | 11/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972884153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | PR060963-1 (New York) | Primary |
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