DR. Yolette Lissade, ED.D.

NPI #1598339418 in Deer Park, New York

Provider Information

NPI Number: 1598339418
Entity Type: Individual
Name: DR. Yolette Lissade, ED.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: ED.D.
Enumeration Date: May 15, 2021
Last Updated: May 15, 2021

Practice Location

Address: 57 LINCOLN AVE
City: Deer Park
State: New York
ZIP Code: 11729-7015
Phone: (718) 669-0966

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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