# LISA LOPINTO, CLINICAL PSYCHOLOGIST, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588898647
- **Authorized official:** DR. LISA LOPINTO PH.D. (PRESIDENT)
- **Authorized official phone:** (631) 398-3494

## Contact information

- **Practice address:** 631 MONTAUK HWY, SUITE 6, WEST ISLIP, NY 11795
- **Practice address phone:** (631) 398-3494
- **Mailing address:** 631 MONTAUK HWY, SUITE 6, WEST ISLIP, NY 11795
- **Mailing address phone:** (631) 398-3494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 014682-1 | NY | Yes |

## Other

- **Enumeration date:** 05/05/2009
- **Last updated:** 05/05/2009