Provider Demographics
NPI:1043033988
Name:TURNER, MICHAEL (CRPA)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:
Last Name:TURNER
Suffix:
Gender:M
Credentials:CRPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 W 19TH ST
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11729-3910
Mailing Address - Country:US
Mailing Address - Phone:631-835-7395
Mailing Address - Fax:
Practice Address - Street 1:52 W 19TH ST
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:NY
Practice Address - Zip Code:11729-3910
Practice Address - Country:US
Practice Address - Phone:631-835-7395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-07
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor