Individual
LORIE CLINNIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 INDUSTRIAL BLVD, MEDFORD, NY 11763-2220
(631) 924-4411
Mailing address
998 CROOKED HILL RD, WEST BRENTWOOD, NY 11717-1019
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
03/31/2010
Last updated
03/31/2010
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