Individual
DR. JANI L KLEBANOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
19 WEST 34 STREET, PH SUITE, NEW YORK, NY 10001-3006
(917) 763-3232
(212) 239-0948
Mailing address
19 WEST 34 STREET, PH SUITE, NEW YORK, NY 10001-3006
(917) 763-3232
(212) 239-0948
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
011309-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01405114
—
NY
Enumeration date
06/23/2006
Last updated
03/17/2018
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