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DR. LARA ELIZABETH BASKIN PH.D.

Clinical Neuropsychologist

Englewood, New Jersey

Provider NPI: 1922193630

Provider Information:
DR. LARA ELIZABETH BASKIN PH.D.
Gender: F
Sole Proprietor


Practice Location:
25 ROCKWOOD PL FIRST FLOOR ENGLEWOOD, NJ 07631 US
Tel: 201-735-2036  Fax: --

Business Mailing Address:
2 HORIZON RD SUITE 1425 FORT LEE, NJ 07024 US
Tel: --  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
NY012492
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
NJSI 03629
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
NY012492
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
NJSI 03629

Other Provider Identifiers:

IssuerNumberStateType
EMPIRE BCBS OUT-NETWORKV8274NY01
OXFORD OUT-OF-NETWORK IDP2347822NJ01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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