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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. LEA ATHENA THEODORE, PH.D.

Active Sole Proprietor

DR. LEA ATHENA THEODORE, PH.D. is a Psychologist healthcare provider located in OAKDALE, New York. NPI 1306920806 is currently active in the NPPES registry. Verify at CMS.

Psychologist · OAKDALE, NY

Registration Details

NPI Number
1306920806
Provider Type
Individual
Gender
Female
NPI Issued
Oct 24, 2006 (19.627362523429 yrs)
Last Updated
Jul 8, 2007
License
016717 (NY)
Sole Proprietor
Yes

Practice Information

Address
1563 MONTAUK HWY
OAKDALE, NY, 117691322
Browse NY providers · Browse ZIP 11769
Phone
6315633162
Primary Specialty
Psychologist
103T00000X

Other Psychologist Providers in OAKDALE, NY

Name Credential NPI
DR. KELLY ANN MURPHY-HORNER PSYD 1417991951
DR. MARIA LOMBARDO PSYD 1417013673
PEGGY GASPER PSYD 1770625980
DR. JENNIFER SUTHERLAND PSY.D 1366570780
DR. CARA MICHELE RIEBE-FROH PSY.D. 1164607594
DR. PAMELA LAUREN MITCHELL PH.D. 1760635163
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.