Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0700X | Adult Development & Aging Psychologist | 015659 | NY |
N | 103G00000X | Clinical Psychologist | 015659 | NY |
N | 103TC0700X | Clinical Psychologist | 015659 | NY |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 015659 | NY |
N | 103TM1800X | Intellectual & Developmental Disabilities | 015659 | NY |
N | 103TP2701X | Group Psychotherapist | 015659 | NY |
N | 103TR0400X | Rehabilitation Psychologist | 015659 | NY |
NPI | 1154526507 |
---|---|
Provider Name | Dr. Dixie J. Luzi |
First Address | Deer Park, NY 11729-5111 |
Second Address | Huntington, NY 11743-3976 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2007 |
Last Update Date | 08/07/2007 |