Individual
DR. CLEMENTINA P LO PROTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3851 N RIVER RD, WEST LAFAYETTE, IN 47906-3762
(201) 563-3740
Mailing address
3851 N RIVER RD, WEST LAFAYETTE, IN 47906-3762
(201) 563-3740
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
023810
NY
Other
Enumeration date
07/31/2020
Last updated
09/02/2020
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