Individual
DEEANNE DOZIER KIND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.H.D.
Contact information
Practice address
123 W 79TH ST, PH 2, NEW YORK, NY 10024-6480
(212) 579-5814
Mailing address
73 BUFF RD, TENAFLY, NJ 07670-1453
(201) 568-0656
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
011186
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02012366
—
NY
Enumeration date
12/13/2006
Last updated
07/08/2007
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