Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 015824-1 | NY |
Y | 103TC0700X | Clinical Psychologist | 015824-1 | NY |
N | 103TA0700X | Adult Development & Aging Psychologist | 015824-1 | NY |
N | 103G00000X | Clinical Psychologist | 015824-1 | NY |
N | 103TC0700X | Clinical Psychologist | 015824-1 | NY |
N | 103TR0400X | Rehabilitation Psychologist | 015824-1 | NY |
NPI | 1336287663 |
---|---|
Provider Name | Dr. Lynn Anne Schaefer |
First Address | Syosset, NY 11791-6506 |
Second Address | Plainview, NY 11803-5020 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2007 |
Last Update Date | 16/10/2018 |