Doctor Name: | PATRICIA A OTOOLE |
NPI Number: | 1245350628 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 001269 |
Business Practice Address: | 20507 Hillside Ave Suite 5-9 Hollis, NY - 114232220 |
Business Phone Number: | 7182641749 |
Business Fax Number: | 7184658423 |
Mailing Address: | 222 Arleigh Rd, DOUGLASTON |
State: | NY |
Postal Code: | 113631143 |
Phone Number: | 7186314130 |
Fax Number: | 9171835823 |
NPI Enumeration Date: | 03/30/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 001269 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |