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Individual

LAUREN E TOBING-PUENTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
525 E 12TH ST, #CF, NEW YORK, NY 10009-3950
(917) 838-9274
Mailing address
525 E 12TH ST, #CF, NEW YORK, NY 10009-3950
(917) 838-9274

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
016789
NY
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
016789
NY
103TM1800X
Intellectual & Developmental Disabilities Psychologist
016789
NY

Other

Enumeration date
05/15/2007
Last updated
12/17/2015
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