Dhara Shah, Mental Health Counseling P.c.

NPI #1558921668 in Patchogue, New York

Provider Information

NPI Number: 1558921668
Entity Type: Organization
Organization Name: Dhara Shah, Mental Health Counseling P.c.
Primary Specialty: Clinic/Center - Adolescent and Children Mental Health
Enumeration Date: Jun 20, 2019
Last Updated: Jun 20, 2019

Practice Location

Address: 110 N OCEAN AVE
City: Patchogue
State: New York
ZIP Code: 11772-2015
Phone: (973) 870-1972

Authorized Official

Name: DHARA SHAH
Title: OWNER
Phone: (973) 870-1972

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X	Primary

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