Provider Demographics
NPI:1063535268
Name:KLINGER-ROSENFELD, DEBRA SUE (PHD)
Entity type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:SUE
Last Name:KLINGER-ROSENFELD
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:NY
Mailing Address - Zip Code:10924-1638
Mailing Address - Country:US
Mailing Address - Phone:845-294-4241
Mailing Address - Fax:
Practice Address - Street 1:305 MAIN ST
Practice Address - Street 2:
Practice Address - City:GOSHEN
Practice Address - State:NY
Practice Address - Zip Code:10924-1638
Practice Address - Country:US
Practice Address - Phone:845-294-4241
Practice Address - Fax:845-294-4241
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY01372103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical