Lisa D Dekeon in Glenwood - Clinical

Lisa D Dekeon - NPI 1588810675

Lisa D Dekeon is a Clinical in Glenwood, New York. Lisa D Dekeon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lisa D Dekeon is 1588810675. The last update date is 2008-08-08.

Lisa D Dekeon's current location address is 5 Crane Rd, Glenwood, New York. You can contact this provider via phone number 7168289586 and fax number 7168289526. The mailing address for Lisa D Dekeon is 5 Crane Rd, Glenwood, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa D Dekeon
Address 5 Crane Rd, Glenwood, New York
Phone Number 7168289586
Fax Number 7168289526
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1588810675
Provider Enumeration Date 2008-08-08
Last Updated Date 2008-08-08

Provider Mailing Address Detail

Address 5 Crane Rd
City Glenwood
State New York (NY)
Post Code 140699618
Phone Number 7168289586
Fax Number 7168289526

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 13328
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

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FAQs about Lisa D Dekeon

What is the Lisa D Dekeon's 1588810675?

The Lisa D Dekeon's NPI (National Provider Identifier) Number is 1588810675. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Lisa D Dekeon's facilities are situated?

The facilities of Lisa D Dekeon are physically located at the following address: 5 Crane Rd, Glenwood, NY, 140699618.

What is Lisa D Dekeon's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Lisa D Dekeon is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1588810675 to Lisa D Dekeon?

The Centers for Medicare & Medicaid Services assigned the 1588810675 to Lisa D Dekeon on 2008-08-08.

When was the information related to Lisa D Dekeon most recently updated or refreshed?

The details pertaining to the Lisa D Dekeon, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-08-08.

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