Doctor Name: | AMY TEICH |
NPI Number: | 1043546567 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW-R |
License Number: | R027231-1 |
Business Practice Address: | 1814 College Point Blvd 2nd Floor College Point, NY - 113562241 |
Business Phone Number: | 3478048277 |
Business Fax Number: | 7183210917 |
Mailing Address: | 1814 College Point Blvd, 2nd Floor COLLEGE POINT |
State: | NY |
Postal Code: | 113562241 |
Phone Number: | 3478048277 |
Fax Number: | 7183210917 |
NPI Enumeration Date: | 10/19/2009 |
NPI Last Update Date: | 10/19/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | R027231-1 |
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 |