Organization
RAINA V. LAMADE, PH.D. PSYCHOLOGICAL SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAINA V LAMADE PH.D. (PRESIDENT)
(631) 748-7687
Entity
Organization
Contact information
Practice address
29 BARSTOW RD STE 304, GREAT NECK, NY 11021-2209
(631) 748-7687
Mailing address
16417 45TH AVE, FLUSHING, NY 11358-3215
(631) 748-7687
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
103TF0200X
Forensic Psychologist
—
—
Other
Enumeration date
07/31/2017
Last updated
12/04/2021
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