Doctor Name: | MRS. ELISABETH BURRELLI-BISCHOFF |
NPI Number: | 1346397197 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 003695-1 |
Business Practice Address: | 1 Cristina Dr Manorville, NY - 119493207 |
Business Phone Number: | 5169916287 |
Business Fax Number: | |
Mailing Address: | Po Box 1348, The Beinecke Building WESTHAMPTON BEACH |
State: | NY |
Postal Code: | 119787348 |
Phone Number: | 6312881954 |
Fax Number: | 6312881955 |
NPI Enumeration Date: | 01/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 003695-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |