Doctor Name: | MS. AYLEEN ALAGO |
NPI Number: | 1306205513 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC, CRC, BCPC |
License Number: | 000532 |
Business Practice Address: | 6628 52nd Rd Maspeth, NY - 113781410 |
Business Phone Number: | 3472472493 |
Business Fax Number: | |
Mailing Address: | 6628 52nd Rd, MASPETH |
State: | NY |
Postal Code: | 113781410 |
Phone Number: | 3472472493 |
Fax Number: | |
NPI Enumeration Date: | 02/16/2016 |
NPI Last Update Date: | 02/16/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 000532 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |