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Individual

DR. LEE WESSON ODESCALCHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
013095-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
137407
VALUEOPTIONS
01
417844
MVP HEALTH CARE
01
734933
VALUEOPTIONS
01
7349337
VALUEOPTIONS
01
7908540
AETNA
Enumeration date
10/30/2006
Last updated
07/08/2007
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