Bush, Dana G.

Bush, Dana G. is an sole proprietor health care provider with primary practice located at 290 Hawkins Ave Ste. B, Lake Ronkonkoma NY 11779-9600. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bush, Dana G. can be contacted via phone (631) 431-1581.

Contact Information

Primary practice address
290 Hawkins Ave Ste. B Lake Ronkonkoma NY 11779-9600
Phone: (631) 431-1581
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 013045 New York
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 013045 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 013045 New York

Profile Details

NPI number 1174640668
LBN Legal business name Bush, Dana G.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2007
Last updated May 8th, 2018 - about 6 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.

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