Provider Demographics
NPI:1841455441
Name:LOMBARDI, KAREN L (PHD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:L
Last Name:LOMBARDI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 BEECH CT
Mailing Address - Street 2:
Mailing Address - City:GLEN COVE
Mailing Address - State:NY
Mailing Address - Zip Code:11542-1426
Mailing Address - Country:US
Mailing Address - Phone:516-759-1390
Mailing Address - Fax:
Practice Address - Street 1:10 BEECH CT
Practice Address - Street 2:
Practice Address - City:GLEN COVE
Practice Address - State:NY
Practice Address - Zip Code:11542-1426
Practice Address - Country:US
Practice Address - Phone:516-759-1390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-23
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6683103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist