Provider Demographics
NPI:1447835525
Name:LOSHIGIAN, DAWN MARIE (PSYD, LMHC)
Entity type:Individual
Prefix:DR
First Name:DAWN
Middle Name:MARIE
Last Name:LOSHIGIAN
Suffix:
Gender:F
Credentials:PSYD, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 78
Mailing Address - Street 2:
Mailing Address - City:GREENLAWN
Mailing Address - State:NY
Mailing Address - Zip Code:11740-0078
Mailing Address - Country:US
Mailing Address - Phone:516-268-4642
Mailing Address - Fax:
Practice Address - Street 1:720 NORTHERN BLVD
Practice Address - Street 2:
Practice Address - City:GREENVALE
Practice Address - State:NY
Practice Address - Zip Code:11548-1319
Practice Address - Country:US
Practice Address - Phone:631-239-6181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-10
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009432101YM0800X
NY024490103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health