Doctor Name: | DR. WILLIAM DUBIN |
NPI Number: | 1295890655 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 1933-1 |
Business Practice Address: | 44 Edgewood Ave Larchmont, NY - 105382336 |
Business Phone Number: | 9148341362 |
Business Fax Number: | |
Mailing Address: | 44 Edgewood Ave, LARCHMONT |
State: | NY |
Postal Code: | 105382336 |
Phone Number: | 9148341362 |
Fax Number: | |
NPI Enumeration Date: | 12/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 1933-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |