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Individual

DR. LAURA LOUISE ATHEY-LLOYD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
35 DOCK ST, ANDRUS CHILDREN'S CENTER, YONKERS, NY 10701-2733
(914) 965-1109
Mailing address
1156 N BROADWAY, ANDRUS CHILDREN'S CENTER, YONKERS, NY 10701-1108
(914) 965-3700
(914) 965-3883

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
020041
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00355940
AGENCY MEDICAID PROVIDER ID
NY
01
1285628552
AGENCY NPI #
NY
01
WVE061
AGENCY MEDICARE ID#
NY
Enumeration date
09/01/2010
Last updated
07/19/2013
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