Doctor Name: | ROBERTA LYNN MORELL |
NPI Number: | 1477875821 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 004298 |
Business Practice Address: | 24 Smith Avenue Mt Kisco, NY - 10549 |
Business Phone Number: | 9146666740 |
Business Fax Number: | 9146668596 |
Mailing Address: | 24 Smith Avenue, MT KISCO |
State: | NY |
Postal Code: | 10549 |
Phone Number: | 9146666740 |
Fax Number: | 9146668596 |
NPI Enumeration Date: | 02/25/2010 |
NPI Last Update Date: | 02/25/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 004298 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |