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Contact Information

LOLA D NOURYAN, PH.D. PSYCHOLOGIST
520 FRANKLIN AVE STE 122
GARDEN CITY, NY11530-5814
 Phone: 516-747-1868
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LOLA D NOURYAN · (Female)

NPI Number 1114043528
Status Active
Credentials PH.D. PSYCHOLOGIST
Entity Individual
Enumeration date 03/21/2007
Last updated 12/07/2018 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 005083
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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