Individual
DR. LARA MICHELLE DICARLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1 STADIUM ROAD - COUNSELING AND PSYCHOLOGICAL SERVICES, STONY BROOK, NY 11794-0001
(631) 632-6720
Mailing address
PO BOX 230284, BROOKLYN, NY 11223-0284
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
024574
NY
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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