Individual
DR. LISA MARGOT LICHT HIRSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
154 W 70TH ST APT 7E, NEW YORK, NY 10023-4496
(914) 309-7672
Mailing address
2745 NETHERLAND AVE, BRONX, NY 10463-4810
(914) 309-7672
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
015637-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A300052471
MEDICARE PTAN
NY
Enumeration date
10/10/2006
Last updated
05/12/2023
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