Provider Demographics
NPI:1316072275
Name:RODMAN ARONSON, KIMBERLY (PSYD)
Entity type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:
Last Name:RODMAN ARONSON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:KIM
Other - Middle Name:
Other - Last Name:RODMAN ARONSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:15 WEST 75TH ST
Mailing Address - Street 2:APT PHB
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023
Mailing Address - Country:US
Mailing Address - Phone:212-721-2761
Mailing Address - Fax:
Practice Address - Street 1:174 WEST 76TH STREET
Practice Address - Street 2:SUITE 3L
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023
Practice Address - Country:US
Practice Address - Phone:212-721-2761
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0152011103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical