| Hope Springs Inc | |
|
98 Camille Lane East Patchogue NY 11772-4624 | |
| (631) 447-2366 | |
| (631) 447-2366 |
| Full Name | Hope Springs Inc |
|---|---|
| Speciality | Psychologist |
| Location | 98 Camille Lane, East Patchogue, New York |
| Authorized Official Name and Position | Debra Mary Dougherty (LICENSED SOCIAL WORKER) |
| Authorized Official Contact | 6314472366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Springs Inc 98 Camille Lane East Patchogue NY 11772-4624 Ph: (631) 447-2366 | Hope Springs Inc 98 Camille Lane East Patchogue NY 11772-4624 Ph: (631) 447-2366 |
| NPI Number | 1629120779 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629120779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | RO536831 (New York) | Primary |
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