Dimitry, Thomas Lee

Dimitry, Thomas Lee is an sole proprietor health care provider with primary practice located at 61 N Maple Ave Suite 204E, Ridgewood NJ 07450-3255. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Cognitive & Behavioral is his primary health care specialty. Dimitry, Thomas Lee can be contacted via phone (201) 445-6677.

Contact Information

Primary practice address
61 N Maple Ave Suite 204E Ridgewood NJ 07450-3255
Phone: (201) 445-6677
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 3800 New Jersey
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3800 New Jersey
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 3800 New Jersey
Behavioral Health & Social Service Providers / School 103TS0200X 3800 New Jersey

Profile Details

NPI number 1407060833
LBN Legal business name Dimitry, Thomas Lee
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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