Individual
DR. AGATHE CHARLES PIERRE-LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3136 NYS ROUTE 207, CAMPBELL HALL, NY 10916-2230
(845) 360-2547
Mailing address
3136 NYS ROUTE 207 STE 203, CAMPBELL HALL, NY 10916-2234
(845) 360-2547
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
019201
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03498015
—
NY
01
—
1205326394
GROUP NPI
NY
01
—
1255525077
INDIVIDUAL NPI
NY
Enumeration date
09/05/2007
Last updated
10/31/2022
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