Individual
KALAN DIXON MINNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
276 5TH AVE RM 605, NEW YORK, NY 10001-4527
(917) 847-7556
Mailing address
276 5TH AVE RM 605, NEW YORK, NY 10001-4527
(917) 847-7556
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P138461
NY
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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