Individual
DR. LILA AGNES COLEBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
98 RIVERSIDE DR, #1C, NEW YORK, NY 10024-5323
(212) 580-2547
Mailing address
395 RIVERSIDE DR, #3C, NEW YORK, NY 10025-1859
(212) 580-2547
(212) 531-1431
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
08542
NY
Other
Enumeration date
06/22/2013
Last updated
06/22/2013
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