Individual
KIMBERLY KASSAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2975 WESTCHESTER AVE, PURCHASE, NY 10577-2518
(914) 358-9927
Mailing address
2975 WESTCHESTER AVE, PURCHASE, NY 10577-2518
(914) 358-9927
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
020928
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020928
NYS LICENSE
NY
Enumeration date
08/02/2022
Last updated
08/02/2022
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