Individual
DR. BETH LAGRANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
220 W 93RD ST APT 9B, NEW YORK, NY 10025-7425
(917) 579-6306
Mailing address
220 W 93RD ST APT 9B, NEW YORK, NY 10025-7425
(917) 579-6306
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
018371
NY
Other
Enumeration date
02/10/2010
Last updated
02/10/2010
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