Deanna Deangelis, LCSW

Individual provider Active NPI Mental Health Counselor · Snyder, NY

NPI 1962546523 · NPPES record last updated Nov 9, 2015

Key facts

NPI
1962546523
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
081951-1 (NY)
Practice address
190 Kings Hwy
Snyder, NY 14226-4432
Phone
(716) 479-9302
NPI assigned
Feb 16, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
081951-1NYMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 081951-1 NY Yes

Addresses

Primary practice location

190 Kings Hwy
Snyder, NY 14226-4432

Mailing address

190 Kings Hwy
Snyder, NY 14226-4432
Phone (716) 479-9302

Other providers in Snyder, NY

All providers in Snyder, NY · Mental Health Counselor in New York

Sources for this page

Verify at the official NPI Registry.