Provider Demographics
NPI:1447457973
Name:ZELINGER, LAURIE ELLEN (PHD)
Entity type:Individual
Prefix:DR
First Name:LAURIE
Middle Name:ELLEN
Last Name:ZELINGER
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 1:461 ALBEMARLE RD
Mailing Address - Street 2:
Mailing Address - City:CEDARHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11516-1229
Mailing Address - Country:US
Mailing Address - Phone:516-295-4995
Mailing Address - Fax:
Practice Address - Street 1:15 IVES RD
Practice Address - Street 2:
Practice Address - City:HEWLETT
Practice Address - State:NY
Practice Address - Zip Code:11557-2028
Practice Address - Country:US
Practice Address - Phone:516-295-0993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013327-1103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent