Doctor Name: | YAEL SHAYNE |
NPI Number: | 1023477767 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW-R |
License Number: | R076300-1 |
Business Practice Address: | 45 N Station Plz Suite 305 Great Neck, NY - 110215033 |
Business Phone Number: | 5163821145 |
Business Fax Number: | |
Mailing Address: | 22 Allenwood Rd, GREAT NECK |
State: | NY |
Postal Code: | 110232127 |
Phone Number: | 5163821145 |
Fax Number: | |
NPI Enumeration Date: | 02/22/2016 |
NPI Last Update Date: | 02/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | R076300-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |