Individual
DR. LILLIAN BASCONE MCGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
555 REMSEN AVE, BROOKLYN, NY 11236-1017
(718) 495-3510
(718) 495-5459
Mailing address
555 REMSEN AVE, BROOKLYN, NY 11236-1017
(718) 495-3510
(718) 495-5459
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
011112-1
NY
Other
Enumeration date
08/03/2012
Last updated
08/03/2012
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