Individual
JAMES M KOELLN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
8509 151ST AVE, SUITE LM, HOWARD BEACH, NY 11414-1301
(718) 740-2067
(718) 776-9806
Mailing address
8509 151ST AVE, SUITE LM, HOWARD BEACH, NY 11414-1301
(718) 740-2067
(718) 776-9806
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
009865
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02145366
—
NY
Enumeration date
05/31/2007
Last updated
07/09/2007
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