Doctor Name: | DR. JOSEPH B ERON |
NPI Number: | 1033223144 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSY.D. |
License Number: | 5938 |
Business Practice Address: | 112 N Front St Kingston, NY - 124013729 |
Business Phone Number: | 8453385450 |
Business Fax Number: | 8453380949 |
Mailing Address: | Po Box 3901, KINGSTON |
State: | NY |
Postal Code: | 124023901 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 5938 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |