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Dr. Ethan Eisen, PHD
Clinical Psychologist in Lawrence, New York
NPI 1558968842

Ethan Eisen is a Clinical Psychologist based in Lawrence, NY and is specialized in Clinical. Ethan Eisen practices in Lawrence, NY and has the professional credentials of PHD. The NPI Number for Ethan Eisen is 1558968842 and holds a License No. 05837 (New York).

The current practice location address for Ethan Eisen is 107 Lakeside Dr E, Lawrence, NY and can be reached out via phone at 516-259-3148.

Location: 107 Lakeside Dr E, Lawrence, NY, 11559-1718
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558968842
Provider Name
Ethan Eisen
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
107 Lakeside Dr E, Lawrence, NY, 11559-1718
Phone Number
516-259-3148
Fax Number
Provider Enumeration Date
10/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
107 Lakeside Dr E
City
Lawrence
State
New York
Zip
11559-1718
Phone Number
516-259-3148
Fax Number
person
Provider Business Mailing Address Details
Address
107 Lakeside Dr E
City
Lawrence
State
New York
Zip
11559-1718
Phone Number
516-259-3148
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
05837 (Maryland)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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