Individual
DR. THOMAS LEE DIMITRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
61 N MAPLE AVE, SUITE 204E, RIDGEWOOD, NJ 07450-3255
(201) 445-6677
Mailing address
61 N MAPLE AVE, SUITE 204E, RIDGEWOOD, NJ 07450-3255
(201) 445-6677
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
3800
NJ
103TC0700X
Clinical Psychologist
3800
NJ
103TC2200X
Clinical Child & Adolescent Psychologist
3800
NJ
103TS0200X
School Psychologist
Primary
3800
NJ
Other
Enumeration date
05/08/2007
Last updated
09/11/2025
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