Provider Demographics
NPI:1699799882
Name:KLEINMAN, ELIZABETH PARTICIA (MA,NCPSYA)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:PARTICIA
Last Name:KLEINMAN
Suffix:
Gender:F
Credentials:MA,NCPSYA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 W 76TH ST APT 2F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-8005
Mailing Address - Country:US
Mailing Address - Phone:212-874-4319
Mailing Address - Fax:212-580-3020
Practice Address - Street 1:37 W 57TH ST STE 601
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3411
Practice Address - Country:US
Practice Address - Phone:212-980-4664
Practice Address - Fax:212-580-3020
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000179-1103TP0814X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysis