Individual
MS. LAUREN EILEEN BROCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
255 LAFAYETTE AVE, SUFFERN, NY 10901-4812
(845) 368-5517
Mailing address
21 MEADOWLARK RD, RYE BROOK, NY 10573-1209
(914) 935-9838
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
011581
NY
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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