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NPI Code Detail

MEDICARE: EMILY Z KLEYMAN PHD

MEDICARE: EMILY Z KLEYMAN PHD
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
1103TC0700XClinical Psychologist015156NY
2103TC0700XClinical PsychologistPY11714FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992738041
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY Z KLEYMAN PHD
Provider Business Mailing Address
First Line : 200 DIPLOMAT PKWY APT 422
Second Line :
City : HALLANDALE BEACH
State : FL
Zip : 33009-8715
Country : US
Telephone Number : 917-660-0250
Fax Number :
Provider Business Practice Location Address
First Line : 4000 HOLLYWOOD BLVD STE 715
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-6755
Country : US
Telephone Number : 833-769-3524
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2006
Last Update Date : 07/28/2023

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