Individual
JOCELYN LICHTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 W 72ND ST, 3RD FLOOR, NEW YORK, NY 10023-3204
(212) 799-7777
Mailing address
117 W 72ND ST, 3RD FLOOR, NEW YORK, NY 10023-3204
(212) 799-7777
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
021137
NY
103TC0700X
Clinical Psychologist
Primary
021137
NY
103TC2200X
Clinical Child & Adolescent Psychologist
021137
NY
Other
Enumeration date
04/30/2015
Last updated
12/01/2015
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