| Dhara Shah, Mental Health Counseling P.c. | |
|
110 N Ocean Ave Patchogue NY 11772-2015 | |
| (973) 870-1972 | |
| Not Available |
| Full Name | Dhara Shah, Mental Health Counseling P.c. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 110 N Ocean Ave, Patchogue, New York |
| Authorized Official Name and Position | Dhara Shah (OWNER) |
| Authorized Official Contact | 9738701972 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dhara Shah, Mental Health Counseling P.c. 5 Brown Pl Ronkonkoma NY 11779-5254 Ph: (973) 870-1972 | Dhara Shah, Mental Health Counseling P.c. 110 N Ocean Ave Patchogue NY 11772-2015 Ph: (973) 870-1972 |
| NPI Number | 1558921668 |
|---|---|
| Provider Enumeration Date | 06/20/2019 |
| Last Update Date | 06/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558921668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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