| Doctor Name: | DR. LUIS LAVIENA |
| NPI Number: | 1003012394 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | 12787 |
| Business Practice Address: | 201 E 28th St Apt 4k New York, NY - 100168538 |
| Business Phone Number: | 2122520396 |
| Business Fax Number: | 2126793015 |
| Mailing Address: | 201 E 28th St Apt 4k, 4l NEW YORK |
| State: | NY |
| Postal Code: | 100168538 |
| Phone Number: | 2122520396 |
| Fax Number: | 2126793015 |
| NPI Enumeration Date: | 06/22/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | 12787 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |