Provider Demographics
NPI:1992738041
Name:KLEYMAN, EMILY Z (PHD)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:Z
Last Name:KLEYMAN
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 1:200 DIPLOMAT PKWY APT 422
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-8715
Mailing Address - Country:US
Mailing Address - Phone:917-660-0250
Mailing Address - Fax:
Practice Address - Street 1:4000 HOLLYWOOD BLVD STE 715
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-6755
Practice Address - Country:US
Practice Address - Phone:833-769-3524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015156103TC0700X
FLPY11714103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL117632000Medicaid
NY02290004Medicaid