NPI 1245458405

Edward Henry Olley, LCSWR

Practitioner Clinical Social Worker Deer Park, NY

Practice location

Address: 144 Lake Ave, Deer Park, NY 11729-4219
Phone: (516) 728-6585
Fax: (631) 667-1078
Mailing address: 1607 Washington Ave, Seaford, NY 11783-1927

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 060677 (NY)

Other Social Worker providers in New York →

Registry record

NPI: 1245458405
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Apr 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.