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Individual

PROF. LISSA WEINSTEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D

Contact information

Practice address
9 E 93RD ST, NEW YORK, NY 10128-0666
(914) 629-2872
Mailing address
9 E 93RD ST, NEW YORK, NY 10128-0666
(914) 629-2872

Taxonomy

Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
103T00000X
Psychologist
00007158
NY
103TC0700X
Clinical Psychologist
Primary
00007158
NY
103TC2200X
Clinical Child & Adolescent Psychologist
00007158
NY

Other

Enumeration date
06/23/2016
Last updated
06/23/2016
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