Individual
DR. DONNA LEE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1048 49TH ST, BROOKLYN, NY 11219-2917
(917) 991-0774
(718) 436-5523
Mailing address
761 49TH ST, BROOKLYN, NY 11220-2206
(718) 436-5523
(718) 436-5523
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
014118
NY
Other
Enumeration date
10/15/2006
Last updated
07/08/2007
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