Individual
DR. JEAN KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
243 LINCOLN AVE, MINEOLA, NY 11501-2544
(516) 742-8277
Mailing address
243 LINCOLN AVE, MINEOLA, NY 11501-2544
(516) 742-8277
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
014353-1
NY
Other
Enumeration date
06/03/2006
Last updated
07/23/2012
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