Individual
MS. LISA DIRECTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
124 W 79TH ST, SUITE 1C, NEW YORK, NY 10024-6470
(212) 362-0705
Mailing address
124 W 79TH ST, SUITE 1C, NEW YORK, NY 10024-6470
(212) 362-0705
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
011503
NY
Other
Enumeration date
04/03/2007
Last updated
05/28/2012
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