Individual
DR. KEREN LITAL ISAACS LEBEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
99 BEAUVOIR AVE, 5TH FLOOR, SUMMIT, NJ 07901-3533
(908) 522-5643
Mailing address
104 E 40TH ST, SUITE 607, NEW YORK, NY 10016-1801
(212) 661-7460
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
35SI00435400
NJ
103G00000X
Clinical Neuropsychologist
68 016217
NY
Other
Enumeration date
10/20/2006
Last updated
06/25/2008
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