Provider Demographics
NPI:1033100136
Name:DOYLE, MAUREEN B (APRN, PHD)
Entity Type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:B
Last Name:DOYLE
Suffix:
Gender:F
Credentials:APRN, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 HARVARD CT
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-1604
Mailing Address - Country:US
Mailing Address - Phone:914-949-1087
Mailing Address - Fax:
Practice Address - Street 1:12 HARVARD CT
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-1604
Practice Address - Country:US
Practice Address - Phone:914-949-1087
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY187007-01163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult