Individual
KENNETH MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
141 N CENTRAL AVE, HARTSDALE, NY 10530-1912
(914) 949-7699
(914) 949-3224
Mailing address
34 S BROADWAY STE 600, WHITE PLAINS, NY 10601-4428
(914) 681-9435
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
011218
NY
Other
Enumeration date
05/05/2009
Last updated
12/27/2018
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