| Doctor Name: | MIRIAM HATENBOER-ZEHAVI |
| NPI Number: | 1215172127 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 075885 |
| Business Practice Address: | 9 High Hill Rd Tuxedo Park, NY - 109873510 |
| Business Phone Number: | 9173787720 |
| Business Fax Number: | |
| Mailing Address: | 9 High Hill Rd, TUXEDO PARK |
| State: | NY |
| Postal Code: | 109873510 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 12/05/2008 |
| NPI Last Update Date: | 09/30/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 075885 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |