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Organization
PARK CENTRAL PSYCHOLOGY, PLLC
Active
Organization
PARK CENTRAL PSYCHOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME H KOGAN PSYD (MANAGER)
(914) 473-9615
Entity
Organization
Contact information
Practice address
7 CLIFF WAY, LARCHMONT, NY 10538-2505
(914) 539-7661
Mailing address
7 CLIFF WAY, LARCHMONT, NY 10538-2505
(914) 473-9615
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
NULL
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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