MEDICARE: DR. CARA KLEIN PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	015551-1	NY
2	103TC0700X	Clinical Psychologist	015551-1	NY

General Provider Information

NPI Number	:	1023239357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARA KLEIN PH.D.

Provider Business Mailing Address
First Line	:	220 S SERVICE RD STE 24
Second Line	:
City	:	ROSLYN HEIGHTS
State	:	NY
Zip	:	11577-2131
Country	:	US
Telephone Number	:	516-484-4898
Fax Number	:	206-600-5139

Provider Business Practice Location Address
First Line	:	220 S SERVICE RD STE 24
Second Line	:
City	:	ROSLYN HEIGHTS
State	:	NY
Zip	:	11577-2131
Country	:	US
Telephone Number	:	516-484-4898
Fax Number	:	206-600-5139

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2007
Last Update Date	:	09/11/2025

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