Individual
DR. KATHLEEN ELLEN LAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
113 GLENCOE CT, NEWARK, DE 19702-2055
(302) 737-2988
Mailing address
160 ROCK HILL RD, BALA CYNWYD, PA 19004-2144
(610) 667-6080
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
B1-0000532
DE
103TC0700X
Clinical Psychologist
PS008703L
PA
Other
Enumeration date
10/31/2006
Last updated
03/07/2017
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