Individual
DARCEY JEAN ORTOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3200 BRONX BOULEVARD, PARKVIEW HOME FOR ADULTS, BRONX, NY 10467
(718) 547-9300
Mailing address
835 SAW CREEK ESTATES, BUSHKILL, PA 18324
(570) 588-0161
(570) 588-4443
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
012588
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02012480
—
NY
Enumeration date
10/03/2006
Last updated
07/08/2007
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