Doctor Name: | MS. DORIS BERTOCCI |
NPI Number: | 1205053469 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW, BCD |
License Number: | 004957 |
Business Practice Address: | 1 Bridge St Ste 22 Irvington, NY - 105331551 |
Business Phone Number: | 9145917100 |
Business Fax Number: | |
Mailing Address: | 1 Bridge St Ste 22, IRVINGTON |
State: | NY |
Postal Code: | 105331551 |
Phone Number: | 9145917100 |
Fax Number: | |
NPI Enumeration Date: | 04/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 004957 |
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 |