Individual
DR. LISA WALLNER SAMSTAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5 W 19TH ST, 9TH FLOOR, NEW YORK, NY 10011-4216
(212) 633-1615
Mailing address
5 W 19TH ST, 9TH FLOOR, NEW YORK, NY 10011-4216
(212) 633-1615
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
014004
NY
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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