Individual
DR. LISA KENTGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
80 8TH AVE, SUITE 709, NEW YORK, NY 10011-5126
(212) 727-2792
Mailing address
80 8TH AVE, SUITE 709, NEW YORK, NY 10011-5126
(212) 727-2792
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
012576
NY
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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