Organization
JOHN R. KLINDIENST PH. D. CLINICAL PSYCHOLOGIST P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R KLINDIENST PH. D. P.C. (PRESIDENT)
(631) 727-1563
Entity
Organization
Contact information
Practice address
223 ROANOKE AVENUE, RIVERHEAD, NY 11901
(631) 727-1563
(361) 369-9423
Mailing address
223 ROANOKE AVE, RIVERHEAD, NY 11901-2778
(631) 727-1563
(631) 369-9423
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
007012
NY
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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