Individual
DR. KATHRYN TRAUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
200 S SERVICE RD STE 109, ROSLYN HEIGHTS, NY 11577-2133
(516) 644-0068
Mailing address
200 S SERVICE RD STE 109, ROSLYN HEIGHTS, NY 11577-2133
(516) 644-0068
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
024400
NY
103TC1900X
Counseling Psychologist
024400
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00336943
—
NY
Enumeration date
12/04/2008
Last updated
08/09/2024
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