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Individual

DR. LISA RAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
55 HORIZON DR, HUNTINGTON, NY 11743-4436
(631) 920-8000
Mailing address
22 LA BONNE VIE DR APT D, EAST PATCHOGUE, NY 11772-4302

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
103TC0700X
Clinical Psychologist
021577-01
NY

Other

Enumeration date
05/12/2014
Last updated
05/05/2023
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