Individual
DR. KATHRYN LYON KEOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
101 E 56TH ST, NEW YORK, NY 10022-2661
(646) 452-0665
Mailing address
101 E 56TH ST, NEW YORK, NY 10022-2661
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
025803
NY
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
025803
NY
Other
Enumeration date
07/30/2021
Last updated
10/18/2023
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