Individual
LORENA ESCORIAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
611 BROADWAY RM 718, NEW YORK, NY 10012
(646) 330-3005
Mailing address
611 BROADWAY RM 718, NEW YORK, NY 10012-2649
(646) 330-3005
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
019824
NY
Other
Enumeration date
10/11/2012
Last updated
07/02/2018
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