Individual
DR. ROSS MICHAEL VANDERKLOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
3512 QUENTIN RD STE 110, BROOKLYN, NY 11234
(800) 275-3243
Mailing address
3512 QUENTIN RD STE 110, BROOKLYN, NY 11234-4245
(800) 275-3243
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
NY
103TC0700X
Clinical Psychologist
023197
NY
Other
Enumeration date
04/12/2019
Last updated
05/01/2019
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