Individual
DR. KENNETH R HERBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
100 S MAIN ST, SUITE 208, SAYVILLE, NY 11782-3100
(631) 627-5969
Mailing address
100 S MAIN ST STE 208, SAYVILLE, NY 11782-3148
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
018109
NY
Other
Enumeration date
05/29/2009
Last updated
12/28/2023
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