Provider Demographics
NPI:1932151024
Name:LARNEY, LUCILLE CATHERINE (PHD)
Entity type:Individual
Prefix:DR
First Name:LUCILLE
Middle Name:CATHERINE
Last Name:LARNEY
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:KACH BEHAVIORAL HEALTH CLINIC
Mailing Address - Street 2:BLDG 606-3M
Mailing Address - City:WEST POINT
Mailing Address - State:NY
Mailing Address - Zip Code:10996
Mailing Address - Country:US
Mailing Address - Phone:845-938-3441
Mailing Address - Fax:845-938-5770
Practice Address - Street 1:KACH BEHAVIORAL HEALTH CLINIC
Practice Address - Street 2:BLDG 606-3M
Practice Address - City:WEST POINT
Practice Address - State:NY
Practice Address - Zip Code:10996
Practice Address - Country:US
Practice Address - Phone:845-938-3441
Practice Address - Fax:845-938-5770
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016183103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist