Individual
LISA DOREEN GLUKHOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
667 STONELEIGH AVE STE 202, CARMEL, NY 10512-2455
(845) 279-5908
Mailing address
667 STONELEIGH AVE STE 202, CARMEL, NY 10512-2455
(845) 279-5908
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
023423
NY
103TC0700X
Clinical Psychologist
023423
NY
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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