Provider Demographics
NPI:1033202387
Name:BARONI, LISA KINGSLEY
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:KINGSLEY
Last Name:BARONI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 N LAKE RD
Mailing Address - Street 2:
Mailing Address - City:ARMONK
Mailing Address - State:NY
Mailing Address - Zip Code:10504-2234
Mailing Address - Country:US
Mailing Address - Phone:914-273-8954
Mailing Address - Fax:914-273-8343
Practice Address - Street 1:8 SUNNYSIDE AVE
Practice Address - Street 2:
Practice Address - City:PLEASANTVILLE
Practice Address - State:NY
Practice Address - Zip Code:10570-3125
Practice Address - Country:US
Practice Address - Phone:914-769-2765
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000067101YM0800X
CT001165101YP2500X
NY000006106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist