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Organization

KEITH WOYTHALER PSYCHOLOGIST, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEITH WOYTHALER (OWNER)
(516) 851-5381
Entity
Organization

Contact information

Practice address
100 N VILLAGE AVE STE 11, ROCKVILLE CENTRE, NY 11570-3712
(516) 851-5381
Mailing address
112 N FOREST AVE, ROCKVILLE CENTRE, NY 11570-4304
(516) 851-5381

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
11/20/2017
Last updated
08/18/2020
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