Individual
DR. LUCIE MARGO TAUSTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
218 GRANNY RD, FARMINGVILLE, NY 11738-2130
(516) 799-3320
(516) 799-3320
Mailing address
218 GRANNY RD, FARMINGVILLE, NY 11738-2130
(516) 799-3320
(516) 453-6798
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
011603
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01375268
—
NY
Enumeration date
07/02/2007
Last updated
02/23/2024
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