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Individual

DR. LAWRENCE S STALLMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
413 KENWOOD AVE, DELMAR, NY 12054-3231
(518) 439-0090
(518) 439-0267
Mailing address
872 MYRTLE AVE, ALBANY, NY 12208-2608
(518) 458-9304
(518) 458-9304

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6155-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
133898
VALUE OPTIONS
NY
Enumeration date
02/19/2007
Last updated
07/08/2007
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