Individual
KENNETH CARDILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
4 CHATSWORTH AVE, LARCHMONT, NY 10538-2946
(914) 833-3467
Mailing address
4 CHATSWORTH AVE, LARCHMONT, NY 10538-2946
(914) 833-3467
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
000564
NY
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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