Provider Demographics
NPI:1154196541
Name:DUBUISSON, ANNE PERETTE (PHD)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:PERETTE
Last Name:DUBUISSON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3017 WICKHAM AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-3217
Mailing Address - Country:US
Mailing Address - Phone:347-907-2868
Mailing Address - Fax:
Practice Address - Street 1:ROCKLAND CHILDREN'S PSYCHIATRIC
Practice Address - Street 2:2 FIRST AVE
Practice Address - City:ORANGEBURG
Practice Address - State:NY
Practice Address - Zip Code:10962
Practice Address - Country:US
Practice Address - Phone:845-680-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-16
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013536-01103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty