Provider Demographics
NPI:1003104209
Name:KLEINMAN, JOEL EDWARD (MD, PHD)
Entity Type:Individual
Prefix:MR
First Name:JOEL
Middle Name:EDWARD
Last Name:KLEINMAN
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3734 JENIFER ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20015-1834
Mailing Address - Country:US
Mailing Address - Phone:202-363-4846
Mailing Address - Fax:202-363-2025
Practice Address - Street 1:3734 JENIFER ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20015-1834
Practice Address - Country:US
Practice Address - Phone:202-363-4846
Practice Address - Fax:202-363-2025
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-21
Last Update Date:2011-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD120902084N0400X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology