Individual
DR. LACI CHARETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
101 BROAD ST, PLATTSBURGH, NY 12901-2637
(518) 564-3385
(518) 564-3397
Mailing address
101 BROAD ST, PLATTSBURGH, NY 12901-2637
(518) 564-3385
(518) 564-3397
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
020755
NY
103TC0700X
Clinical Psychologist
020755
NY
103TS0200X
School Psychologist
Primary
020755
NY
Other
Enumeration date
08/26/2014
Last updated
08/27/2014
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