Individual
DR. LISA WHITTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
624 W 139TH ST, SUITE 1A, NEW YORK, NY 10031-7328
(646) 242-3480
Mailing address
435 CONVENT AVE APT 53, NEW YORK, NY 10031-3624
(212) 926-9451
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
07884-1
NY
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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