Individual
DR. LISA D DEKEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
790 RIDGE RD, LACKAWANNA, NY 14218-1629
(716) 828-9586
(716) 828-9526
Mailing address
5 CRANE RD, GLENWOOD, NY 14069-9618
(716) 828-9586
(716) 828-9526
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
013328
NY
Other
Enumeration date
08/08/2008
Last updated
08/08/2008
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