DR. Peter G Depasquale, PHD MSW

NPI #1285782615 in Port Jefferson, New York

Provider Information

NPI Number: 1285782615
Entity Type: Individual
Name: DR. Peter G Depasquale, PHD MSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: PHD MSW
Enumeration Date: Jan 8, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 646 MAIN STREET
City: Port Jefferson
State: New York
ZIP Code: 11777
Phone: (631) 689-8180

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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