Individual
LANAYA WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
127 W 83RD ST UNIT 803, NEW YORK, NY 10024-0831
(332) 203-3530
Mailing address
127 W 83RD ST UNIT 803, NEW YORK, NY 10024-0831
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
Primary
025599-01
NY
Other
Enumeration date
01/17/2018
Last updated
07/23/2026
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