Provider Demographics
NPI:1124046651
Name:POWELL GARLINGTON, DARLENE (PHD)
Entity Type:Individual
Prefix:DR
First Name:DARLENE
Middle Name:
Last Name:POWELL GARLINGTON
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 1:3773 CHARLOTTE CT
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11783-1803
Mailing Address - Country:US
Mailing Address - Phone:860-604-5888
Mailing Address - Fax:
Practice Address - Street 1:2280 GRAND AVE STE 304
Practice Address - Street 2:
Practice Address - City:BALDWIN
Practice Address - State:NY
Practice Address - Zip Code:11510-3110
Practice Address - Country:US
Practice Address - Phone:516-679-0457
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00573800103TC0700X
CT001403103TC0700X
NY018597103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical