Deriggi, Grace R

Deriggi, Grace R is an sole proprietor health care provider with primary practice located at 55 Nesconset Hwy Suite #3, Port Jefferson Station NY 11776-2631. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Deriggi, Grace R can be contacted via phone (631) 793-6079.

Contact Information

Primary practice address
55 Nesconset Hwy Suite #3 Port Jefferson Station NY 11776-2631
Phone: (631) 793-6079
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 002472 New York
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 000430 New York

Profile Details

NPI number 1770799264
LBN Legal business name Deriggi, Grace R
Credentials LMHC, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2007
Last updated Mar 17th, 2011 - about 13 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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