Lakeside Behavioral Health | |
2 South St Ste 204 Auburn NY 13021-3833 | |
(315) 558-7631 | |
(315) 370-9964 |
Full Name | Lakeside Behavioral Health |
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Speciality | Psychologist - Clinical |
Location | 2 South St, Auburn, New York |
Authorized Official Name and Position | Courtney Elizabeth Du Mond (PSYCHOLOGIST) |
Authorized Official Contact | 3155587631 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lakeside Behavioral Health 2 South St Suite 204 Auburn NY 13021-3833 Ph: (315) 558-7631 | Lakeside Behavioral Health 2 South St Ste 204 Auburn NY 13021-3833 Ph: (315) 558-7631 |
NPI Number | 1144606138 |
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Provider Enumeration Date | 08/03/2015 |
Last Update Date | 02/18/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144606138 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 019038-1 (New York) | Primary |
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