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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. JO ANN DATTILO TRABOULS, LCSW R BCD

Active

MS. JO ANN DATTILO TRABOULS, LCSW R BCD is a Psychoanalysis (Psychologist) healthcare provider located in ATLANTIC BEACH, New York. NPI 1922163245 is currently active in the NPPES registry. Verify at CMS.

Psychoanalysis (Psychologist) · ATLANTIC BEACH, NY

Registration Details

NPI Number
1922163245
Provider Type
Individual
Gender
Female
NPI Issued
Dec 27, 2006 (19.64652019769 yrs)
Last Updated
Sep 11, 2025
Licenses
R043372-1 (NY)
R043372-1 (NY)

Practice Information

Address
137 BROOME AVE
ATLANTIC BEACH, NY, 11509
Browse NY providers · Browse ZIP 11509
Phone
5163714118
Fax
5163719423
Primary Specialty
Psychoanalysis (Psychologist)
103TP0814X
Additional Specialty
Social Worker
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.