Provider Demographics
NPI:1033631684
Name:DOUKAS, ASHLEY MARGUERITE (PHD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:MARGUERITE
Last Name:DOUKAS
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 1:650 1ST AVE FL 7
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-3280
Mailing Address - Country:US
Mailing Address - Phone:646-754-1654
Mailing Address - Fax:
Practice Address - Street 1:650 1ST AVE FL 7
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:467-541-6546
Practice Address - Fax:646-754-9806
Is Sole Proprietor?:No
Enumeration Date:2017-07-14
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022749103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical