Doctor Name: | ALLISON RICCIARDI |
NPI Number: | 1013340280 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.H.C. |
License Number: | 002607 |
Business Practice Address: | 10 E 16th St Huntington Station, NY - 117462911 |
Business Phone Number: | 6319232777 |
Business Fax Number: | 6319232777 |
Mailing Address: | Po Box 1276, HUNTINGTON |
State: | NY |
Postal Code: | 117430657 |
Phone Number: | 6312238187 |
Fax Number: | 6313507120 |
NPI Enumeration Date: | 08/12/2013 |
NPI Last Update Date: | 03/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 002607 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |