Individual
LOREN DENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
623 WASHINGTON AVE, BROOKLYN, NY 11238-3624
(646) 305-6156
Mailing address
623 WASHINGTON AVE, BROOKLYN, NY 11238-3624
(646) 305-6156
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
021744
NY
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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