Provider Demographics
NPI:1215125166
Name:FRANCIS, DORIS (PSYD)
Entity type:Individual
Prefix:DR
First Name:DORIS
Middle Name:
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115-10 QUEENS BLVD.
Mailing Address - Street 2:SUITE UL4
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-7060
Mailing Address - Country:US
Mailing Address - Phone:516-978-8988
Mailing Address - Fax:
Practice Address - Street 1:115-10 QUEENS BLVD.
Practice Address - Street 2:SUITE UL4
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-7060
Practice Address - Country:US
Practice Address - Phone:516-978-8988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-04
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013732103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical