Individual
DR. KEITH WOYTHALER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
100 N VILLAGE AVE STE 11, ROCKVILLE CENTRE, NY 11570
(516) 690-9555
Mailing address
100 N VILLAGE AVE STE 11, ROCKVILLE CENTRE, NY 11570-3712
(516) 690-9555
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
017909
NY
Other
Enumeration date
11/26/2008
Last updated
08/18/2020
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