Individual
PAUL LICHTENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
236 TOW PATH RD, ACCORD, NY 12404-5516
(718) 813-0408
Mailing address
236 TOW PATH RD, ACCORD, NY 12404-5516
(718) 813-0408
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
013329
NY
103T00000X
Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
013329
NY
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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