Doctor Name: | MRS. AGUSTINA FOUGERE |
NPI Number: | 1003013772 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | |
Business Practice Address: | 300 Flatbush Ave Brooklyn Center For Psychotherapy Brooklyn, NY - 112172812 |
Business Phone Number: | 7186222000 |
Business Fax Number: | |
Mailing Address: | 604 Manhattan Ave Apt 3l, BROOKLYN |
State: | NY |
Postal Code: | 112223930 |
Phone Number: | 7183493155 |
Fax Number: | |
NPI Enumeration Date: | 06/27/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |