Organization
DLK PSYD PSYCHOLOGIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTIN KAHOUD PSY.D. (OWNER)
(516) 479-4350
Entity
Organization
Contact information
Practice address
10 GRACE AVE STE 7, GREAT NECK, NY 11021-2423
(516) 479-4350
(516) 706-4448
Mailing address
10 GRACE AVE STE 7, GREAT NECK, NY 11021-2423
(516) 479-4350
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
021201
NY
Other
Enumeration date
12/10/2015
Last updated
04/29/2022
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