Individual
DR. LAUREN F STACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
310 E SHORE RD, SUITE 100, GREAT NECK, NY 11023-2410
(516) 466-7077
(516) 466-0450
Mailing address
310 E SHORE RD, SUITE 100, GREAT NECK, NY 11023-2410
(516) 466-7077
(516) 466-0450
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
020184
NY
Other
Enumeration date
09/24/2013
Last updated
12/07/2016
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