Doctor Name: | DR. KARLA ANN DOCKERY |
NPI Number: | 1043365349 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 13311 |
Business Practice Address: | 275 North St Harrison, NY - 105281524 |
Business Phone Number: | 9149255324 |
Business Fax Number: | 9149255169 |
Mailing Address: | 275 North St, HARRISON |
State: | NY |
Postal Code: | 105281524 |
Phone Number: | 9149255324 |
Fax Number: | |
NPI Enumeration Date: | 01/24/2007 |
NPI Last Update Date: | 04/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 13311 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |