National Provider Identifier
Lisa D Dekeon, PH.D.
Lisa D Dekeon, PH.D. is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Lackawanna, NY and a listed phone number of (716) 828-9586.
Profile Overview
- NPI
- 1588810675
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- August 08, 2008
- Last Updated
- August 08, 2008
Practice Location
- 790 Ridge RD
- Lackawanna, NY 14218-1629
Phone: (716) 828-9586
Mailing Address
- 5 Crane RD
- Glenwood, NY 14069-9618
Specialties
- Clinical Psychologist (103TC0700X)
Full Record
- NPI
- 1588810675
- Entity Type
- Individual
- Last Name
- Dekeon
- First Name
- Lisa
- Middle Name
- D
- Name Prefix
- Dr.
- Credential
- PH.D.
- Mailing Street Address
- 5 Crane RD
- Mailing City
- Glenwood
- Mailing State
- NY
- Mailing ZIP Code
- 14069-9618
- Mailing Country
- US
- Mailing Phone
- (716) 828-9586
- Mailing Fax
- (716) 828-9526
- Practice Street Address
- 790 Ridge RD
- Practice City
- Lackawanna
- Practice State
- NY
- Practice ZIP Code
- 14218-1629
- Practice Country
- US
- Practice Phone
- (716) 828-9586
- Practice Fax
- (716) 828-9526
- Enumeration Date
- August 08, 2008
- Last Updated
- August 08, 2008
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Psychologist (103TC0700X)