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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