Individual
DR. LAWRENCE GUERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
185 SOUTH ST, OYSTER BAY, NY 11771-2254
(516) 802-0284
(516) 802-0285
Mailing address
185 SOUTH ST, OYSTER BAY, NY 11771-2254
(516) 802-0284
(516) 802-0285
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
012231
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02447845
—
NY
Enumeration date
04/09/2007
Last updated
06/17/2017
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