| Organization Name: | LMK PSYCHOLOGICAL SERVICES, PC |
| NPI Number: | 1992089056 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JONATHAN BERNARD KOGEN (OWNER-DIRECTOR) |
| Mailing Address: | 139 Swannekin Rd Blauvelt |
| State: | NY US |
| Postal Code: | 109131637 |
| Phone Number: | 9144190088 |
| Fax Number: | |
| NPI Enumeration Date: | 10/06/2011 |
| NPI Last Update Date: | 10/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 003552 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |