Organization
LMK PSYCHOLOGICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN BERNARD KOGEN PHD (OWNER-DIRECTOR)
(914) 419-0088
Entity
Organization
Contact information
Practice address
139 SWANNEKIN RD, BLAUVELT, NY 10913-1637
(914) 419-0088
Mailing address
139 SWANNEKIN RD, BLAUVELT, NY 10913-1637
(914) 419-0088
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
003552
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003552
LICENSE PSYCHOLOGIST
NY
Enumeration date
10/06/2011
Last updated
10/06/2011
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