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General NPI Number Information
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NPI Number | 1891066627
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Entity Type | Individual
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Provider Name | JORDANA KLEIN PSYD
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Gender | Female
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Dates
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Enumeration Date | 01/25/2012
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Last Update Date | 04/20/2025
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Provider Practice Location Address
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Address Line | 350 N BEDFORD RD # 1072
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City | MOUNT KISCO
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State | NY
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Zip | 10549-1105
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Country | US
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Telephone | 516-641-1328
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Fax |
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Provider Business Mailing Address
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Address Line | 480 BEDFORD RD
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City | ARMONK
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State | NY
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Zip | 10504-2504
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Country | US
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Telephone | 516-641-1328
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 021274-01
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License Number State | NY
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