Provider Demographics
NPI:1952681116
Name:CALGARO, DEAHNA REBEKAH (MA, LMHC)
Entity Type:Individual
Prefix:MS
First Name:DEAHNA
Middle Name:REBEKAH
Last Name:CALGARO
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:347 FIFTH AVENUE
Mailing Address - Street 2:SUITE 1410
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-5523
Mailing Address - Country:US
Mailing Address - Phone:917-725-0440
Mailing Address - Fax:
Practice Address - Street 1:347 FIFTH AVENUE
Practice Address - Street 2:SUITE 1410
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-1001
Practice Address - Country:US
Practice Address - Phone:917-725-0440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-19
Last Update Date:2020-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005630101YP2500X
NY09876-01101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional