Provider Demographics
NPI:1093874224
Name:KLEINMAN, JOEL M (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:M
Last Name:KLEINMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 MOUNT BETHEL RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:NJ
Mailing Address - Zip Code:07059-5604
Mailing Address - Country:US
Mailing Address - Phone:732-859-5460
Mailing Address - Fax:732-424-8494
Practice Address - Street 1:106 WHIPPET LN
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:TN
Practice Address - Zip Code:37716
Practice Address - Country:US
Practice Address - Phone:732-859-5460
Practice Address - Fax:732-424-8494
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00244300103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent