Individual
CHRISTOPHER KUNKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
706 MADISON AVE, ALBANY, NY 12208-3604
(518) 728-5682
Mailing address
PO BOX 4077, CLIFTON PARK, NY 12065-0850
(518) 728-5682
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
017860
NY
103TC0700X
Clinical Psychologist
Primary
017860
NY
103TF0200X
Forensic Psychologist
017860
NY
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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