Doctor Name: | DONNA MAE DEPOLA |
NPI Number: | 1427316108 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CASAC, CPP |
License Number: | CPP-158 |
Business Practice Address: | 449 39th St 4th Floor Brooklyn, NY - 112322909 |
Business Phone Number: | 6467153608 |
Business Fax Number: | 7188717419 |
Mailing Address: | 449 39th St, 4th Floor BROOKLYN |
State: | NY |
Postal Code: | 112322909 |
Phone Number: | 6467153608 |
Fax Number: | 7188717419 |
NPI Enumeration Date: | 05/01/2012 |
NPI Last Update Date: | 05/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | CPP-158 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |