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Individual

DR. KYLA JOSIE BLATTBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
36 HOLLY DR, SYOSSET, NY 11791-5720
(516) 445-8392
Mailing address
36 HOLLY DR, SYOSSET, NY 11791-5720
(516) 445-8392

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
012259
NY

Other

Enumeration date
10/12/2006
Last updated
08/05/2015
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