Joanne Della Valle Lcsw P.c. | |
1050 Hallock Ave Port Jefferson Station NY 11776 | |
(631) 358-8866 | |
Not Available |
Full Name | Joanne Della Valle Lcsw P.c. |
---|---|
Speciality | Social Worker - Clinical |
Location | 1050 Hallock Ave, Port Jefferson Station, New York |
Authorized Official Name and Position | Joanne M Della Valle (PRESIDENT) |
Authorized Official Contact | 6313588866 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Joanne Della Valle Lcsw P.c. 7 Stephanie Lane Manorville NY 11949 Ph: () - | Joanne Della Valle Lcsw P.c. 1050 Hallock Ave Port Jefferson Station NY 11776 Ph: (631) 358-8866 |
NPI Number | 1528581030 |
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Provider Enumeration Date | 07/18/2017 |
Last Update Date | 07/24/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528581030 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 082915-1 (New York) | Primary |
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