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Individual

LAWRENCE EDWARD DRESDALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
159 GREEN ST., SUITE 1, KINGSTON, NY 12401
(845) 339-2352
(845) 339-2382
Mailing address
721 BROADWAY # 201, KINGSTON, NY 12401-3449
(845) 331-2007
(845) 339-2382

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
007948
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00977344
NY
01
135390
VALUEOPTIONS
NY
01
986103
MVP HEALTHCARE
NY
Enumeration date
03/26/2007
Last updated
08/25/2018
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