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Individual

LISE BECKER VEZINA

Active
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Individual

LISE BECKER VEZINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PSY1000023
DC
103TC0700X
Clinical Psychologist
03936
MD

Other

Enumeration date
10/03/2006
Last updated
07/12/2024
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