Organization
LARA BASKIN PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARA E BASKIN PHD (OWNER MANAGING MEMBER)
(917) 273-7896
Entity
Organization
Contact information
Practice address
645 WESTWOOD AVE STE 206, RIVER VALE, NJ 07675-5300
(201) 735-2036
(201) 735-2036
Mailing address
521 PIERMONT AVE S UNIT 506, RIVER VALE, NJ 07675-5720
(917) 273-7896
(201) 735-2036
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
09/12/2022
Last updated
09/19/2022
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