Provider Demographics
NPI:1982253258
Name:WEEKS-CLOHESSY, LISA A
Entity Type:Individual
Prefix:MISS
First Name:LISA
Middle Name:A
Last Name:WEEKS-CLOHESSY
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:LISA
Other - Middle Name:A
Other - Last Name:WEEKS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS SPED
Mailing Address - Street 1:12 WHITE BIRCH DRIVE
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-2001
Mailing Address - Country:US
Mailing Address - Phone:914-329-4888
Mailing Address - Fax:
Practice Address - Street 1:15 SPRING VALLEY RD
Practice Address - Street 2:
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562-2001
Practice Address - Country:US
Practice Address - Phone:914-333-7000
Practice Address - Fax:914-333-7170
Is Sole Proprietor?:No
Enumeration Date:2019-09-09
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY598463121174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist