Provider Demographics
NPI:1124296868
Name:LAMPASSO, SUNNI (PYSD)
Entity type:Individual
Prefix:DR
First Name:SUNNI
Middle Name:
Last Name:LAMPASSO
Suffix:
Gender:F
Credentials:PYSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 STONE PL STE 203
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-3430
Mailing Address - Country:US
Mailing Address - Phone:914-760-7150
Mailing Address - Fax:
Practice Address - Street 1:1 STONE PL STE 203
Practice Address - Street 2:
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-3430
Practice Address - Country:US
Practice Address - Phone:914-760-7150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-15
Last Update Date:2019-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017537103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical