Individual
DR. HENRY KELLERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0030591
NY
103TP0814X
Psychoanalysis Psychologist
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0030591
LIC #
NY
Enumeration date
02/23/2007
Last updated
09/11/2025
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