Individual
DR. JOEL MANDEL KESTENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
922 DIXIE HWY, ROSSFORD, OH 43460-1333
(419) 661-2779
(419) 661-0890
Mailing address
PO BOX 60347, ROSSFORD, OH 43460-0347
(419) 661-2779
(419) 661-0890
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2049
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01388
PARAMOUNT HEALTH CARE
—
05
—
0348261
—
OH
Enumeration date
07/12/2005
Last updated
12/12/2007
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