Individual
DR. LEAH M LAGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D, B.C.B
Contact information
Practice address
635 MADISON AVE, THIRD FLOOR, NEW YORK, NY 10022-1009
(646) 770-1702
Mailing address
610 W 42ND ST, APARTMENT 48G, NEW YORK, NY 10036-1956
(646) 770-1702
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
019086
NY
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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