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General NPI Number Information
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NPI Number | 1346970506
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Entity Type | Organization
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Legal Business Name | LAURA ATHEY-LLOYD, PSY.D., P.L.L.C.
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Dates
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Enumeration Date | 06/12/2022
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Last Update Date | 06/12/2022
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Provider Practice Location Address
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Address Line | 505 PARK AVE STE 400
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City | NEW YORK
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State | NY
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Zip | 10022-9331
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Country | US
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Telephone | 347-766-8554
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Fax |
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Provider Business Mailing Address
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Address Line | 2223 36TH ST
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City | ASTORIA
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State | NY
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Zip | 11105-2210
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL PSYCHOLOGIST
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Name | DR. LAURA ATHEY LLOYD KALIS
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Credential | PSYD
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Telephone | 347-766-8554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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