Individual
LOIS TANNENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
163 HEATHER CIR, NEWBURGH, NY 12550-5730
(845) 527-7913
(845) 566-1215
Mailing address
163 HEATHER CIR, NEWBURGH, NY 12550-5730
(845) 527-7913
(845) 566-1215
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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