Individual
LORI REEVE-DOMENY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1440 PORT WASHINGTON BLVD, PORT WASHINGTON, NY 11050-2412
(516) 719-9400
(516) 944-8518
Mailing address
1 OLD COUNTRY RD, SUITE 271, CARLE PLACE, NY 11514-1801
(800) 725-6280
(800) 725-6380
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
012172
NY
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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