Individual
DR. BENJAMIN SAMUEL KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
410 E 92ND ST, NEW YORK, NY 10128-6881
(212) 831-3667
(212) 831-5254
Mailing address
281 WINDSOR PL, APT. 8, BROOKLYN, NY 11218-1227
(917) 232-8860
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
020863
NY
103TS0200X
School Psychologist
1284837
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020863
LICENSED CLINICAL PSYCHOLOGIST
NY
01
—
1284837
SCHOOL PSYCHOLOGIST CERTIFICATION
NY
Enumeration date
09/24/2013
Last updated
10/06/2015
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