MS. Dorothy Ellen Lystad
MS. Dorothy Ellen Lystad is a Clinical Social Worker in Long Beach, New York. Licensed in New York. Registered with an NPI since 2007.
- Licensed in
- NY
- In the registry since
- 2007
Practice location Address checks out
260 Edwards BlvdLong Beach, NY 11561
Phone: (516) 432-7905
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence R029041 (NY) |
|---|
Record details
| NPI number | 1023163110 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 25, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 260 Edwards Blvd, Long Beach, NY 11561 |
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