Individual
LAUREN DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1 PARK AVE FL 7, NEW YORK, NY 10016-5815
(212) 263-6622
Mailing address
1 PARK AVE FL 7, NEW YORK, NY 10016-5815
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
021879
NY
Other
Enumeration date
06/23/2017
Last updated
06/23/2017
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