DOYLE NORMAN DEGRAW LIMITED LMHC NPI 1629375530

NPI Information

NPI: 1629375530
Provider Name: DOYLE NORMAN DEGRAW, LIMITED LMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
58 PEMBROOK DR
STONY BROOK, NY
ZIP 11790
Phone: (616) 633-3565
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Doyle Norman Degraw, LIMITED LMHC is a mental health counselor in Stony Brook, NY. Doyle Norman Degraw, LIMITED LMHC NPI is 1629375530. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

58 PEMBROOK DR
STONY BROOK, NY
ZIP 11790-636
Phone: (616) 633-3565

The enumeration date for this NPI number is 2/12/2011 and was last updated on 11/22/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	008236	NEW YORK	Yes
2	101YM0800X	Counselor	Mental Health	P96322	NEW YORK	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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