Individual provider · Type 1 NPI

Lila Agnes Coleburn, PhD

Clinical Psychologist · New York, NY

NPI number 1104265164 Active

Practice location

98 Riverside Dr, #1C
New York, NY 10024-5323

Call (212) 580-2547 Map

Mailing address

395 Riverside Dr, #3C
New York, NY 10025-1859

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X08542 (NY)

Clinical Psychologist: 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 discip…

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About NPI 1104265164

Lila Agnes Coleburn, PhD's National Provider Identifier is 1104265164, issued on Jun 22, 2013. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in New York, NY. The record was last updated on Jun 22, 2013.