Individual
DR. JULIA B KIELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
635 W 165TH ST, NEW YORK, NY 10032-3724
(212) 305-5977
Mailing address
16045 MAIN RD, MATTITUCK, NY 11952-2332
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
021700
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/27/2010
Last updated
08/21/2024
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