Individual
ELLEN TOBEY KLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
40 W 17TH ST, 3A, NEW YORK, NY 10011-5715
(212) 242-0132
Mailing address
40 W 17TH ST, 3A, NEW YORK, NY 10011-5715
(212) 242-0132
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
PSY 5042
NY
103TC0700X
Clinical Psychologist
Primary
PSY 5042
NY
Other
Enumeration date
03/09/2011
Last updated
03/09/2011
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