DR. Lisa A Dedomenico

NPI #1770875403 in West Nyack, New York

Provider Information

NPI Number: 1770875403
Entity Type: Individual
Name: DR. Lisa A Dedomenico
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Enumeration Date: May 13, 2011
Last Updated: May 13, 2011

Practice Location

Address: 65 PARROTT RD
City: West Nyack
State: New York
ZIP Code: 10994-1025
Phone: (845) 627-4829

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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