Dattilo Trabouls, Jo Ann

Dattilo Trabouls, Jo Ann is an individual health care provider with primary practice located at 137 Broome Ave , Atlantic Beach NY 11509. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychoanalysis, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Psychoanalysis is her primary health care specialty. Dattilo Trabouls, Jo Ann can be contacted via phone (516) 371-4118.

Contact Information

Primary practice address
137 Broome Ave Atlantic Beach NY 11509
Phone: (516) 371-4118
Fax: (516) 371-9423
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychoanalysis 103TP0814X R043372-1 New York
Behavioral Health & Social Service Providers / Social Worker 104100000X R043372-1 New York

Profile Details

NPI number 1922163245
LBN Legal business name Dattilo Trabouls, Jo Ann
Credentials LCSW R BCD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Jul 8th, 2007 - about 17 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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