Individual
DR. ROBERT JOSEPH KOHLBRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6838 E GENESEE ST, FAYETTEVILLE, NY 13066-1029
(315) 727-0476
(315) 656-3079
Mailing address
103 THORNDIKE LN, MINOA, NY 13116-1127
(315) 656-3079
(315) 656-3079
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
10758-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01262000
—
NY
Enumeration date
03/26/2007
Last updated
07/09/2007
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