MS. Dorothy Ellen Lystad
NPI #1023163110 in Long Beach, New York
Provider Information
- NPI Number
- 1023163110
- Entity Type
- Individual
- Name
- MS. Dorothy Ellen Lystad
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jan 25, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 260 EDWARDS BLVD
- City
- Long Beach
- State
- New York
- ZIP Code
- 11561
- Phone
- (516) 432-7905
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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