Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Lea Athena Theodore, PHD

Individual provider Psychologist · NPI 1306920806

Dr. Lea Athena Theodore, PHD is a Psychologist in Oakdale, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1563 Montauk Hwy
Oakdale, NY 11769-1322
Phone: (631) 563-3162
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 016717 (NY)

Record details

NPI number1306920806
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedOctober 24, 2006
Last updated in NPPESJuly 8, 2007

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