Individual
LARA M. DEGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
130 WEST KINGSBRIDGE ROAD, BRONX, NY 10468
(718) 584-9000
Mailing address
130 WEST KINGSBRIDGE ROAD, BRONX, NY 10468
(718) 584-9000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
017994
NY
Other
Enumeration date
05/25/2010
Last updated
02/23/2012
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