Individual
DR. LAURIE LICHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
165 DOLPHIN DR, WOODMERE, NY 11598-1813
(516) 295-5324
Mailing address
165 DOLPHIN DR, WOODMERE, NY 11598-1813
(516) 295-5324
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5756251
NY
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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