Douglas, Sean Tyrone

Douglas, Sean Tyrone is an sole proprietor health care provider with primary practice located at 5 Brewster St Ste 143 , Glen Cove NY 11542-2549. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Douglas, Sean Tyrone can be contacted via phone (516) 825-8584.

Contact Information

Primary practice address
5 Brewster St Ste 143 Glen Cove NY 11542-2549
Phone: (516) 825-8584
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R056802 New York

Profile Details

NPI number 1457370124
LBN Legal business name Douglas, Sean Tyrone
Credentials PH.D., LCSW-R
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2006
Last updated Aug 15th, 2023 - about last year

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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