Doctor Name: | DR. JOEL M KLEINMAN |
NPI Number: | 1093874224 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 35SI00244300 |
Business Practice Address: | 235 Route 22 East Green Brook, NJ - 08812 |
Business Phone Number: | 7328595460 |
Business Fax Number: | 7324248494 |
Mailing Address: | 119 Mount Horeb Rd, WARREN |
State: | NJ |
Postal Code: | 070595528 |
Phone Number: | 7328595460 |
Fax Number: | 7324248494 |
NPI Enumeration Date: | 12/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC2200X |
License Number: | 35SI00244300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical Child & Adolescent |
Taxonomy Definition: |