Douglas, Mary E

Douglas, Mary E is an individual health care provider with primary practice located at 3043 State Route 4 , Hudson Falls NY 12839-9632. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Douglas, Mary E can be contacted via phone (518) 747-2284.

Contact Information

Primary practice address
3043 State Route 4 Hudson Falls NY 12839-9632
Phone: (518) 747-2284
Fax: (518) 747-2253
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 084092 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 086978 New York

Profile Details

NPI number 1730436098
LBN Legal business name Douglas, Mary E
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2012
Last updated May 25th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1730436098 NPPES
New York MEDICAID 084092
New York MEDICAID 086978

Popular Providers