Individual
DR. LISA M. VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
310 EAST SHORE ROAD, SUITE 100, GREAT NECK, NY 11023
(516) 466-7077
(516) 466-0450
Mailing address
310 EAST SHORE ROAD, SUITE 100, GREAT NECK, NY 11023
(516) 466-7077
(516) 466-0450
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
016709
NY
Other
Enumeration date
10/25/2006
Last updated
09/17/2012
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