Individual
DR. KATHLEEN MALLEN-OZIMKOWSKI
Active
Individual
DR. KATHLEEN MALLEN-OZIMKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
023310-01
NY
103TB0200X
Cognitive & Behavioral Psychologist
Primary
023310-01
NY
103TC2200X
Clinical Child & Adolescent Psychologist
023310-01
NY
103TF0000X
Family Psychologist
023310-01
NY
103TS0200X
School Psychologist
023310-01
NY
106H00000X
Marriage & Family Therapist
023310-01
NY
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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