LEA ATHENA THEODORE

OAKDALE, NY
NPI1306920806
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: NY  016717)
Enumeration Date2006-10-24
Last Update Date2007-07-08
Business Address
Dr. LEA ATHENA THEODORE Ph.D.
1563 MONTAUK HWY
OAKDALE, NY 11769-1322
Phone number: 631-563-3162
Mailing Address
Dr. LEA ATHENA THEODORE Ph.D.
1563 MONTAUK HWY
OAKDALE, NY 11769-1322
Phone number: 631-563-3162
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