Individual provider · Type 1 NPI

Lawan Rickenbacker, PSYD

Counselor · Staten Island, NY

NPI number 1548752983 Active

Practice location

28 Treadwell Ave
Staten Island, NY 10302

Call (917) 741-3224 Map

Other practice locations

  • 930 Willowbrook Rd # B14E, Staten Island, NY 10314-4209 · (917) 741-3224

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1548752983

Lawan Rickenbacker, PSYD's National Provider Identifier is 1548752983, issued on Jun 1, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Staten Island, NY. The record was last updated on Jun 1, 2018.