Individual
DIANE CLEMENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
56 E 87TH ST, NEW YORK, NY 10128-1036
(212) 534-3952
Mailing address
56 E 87TH ST, NEW YORK, NY 10128-1036
(212) 534-3952
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
LCSW014027R
NY
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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