Provider Demographics
NPI:1558635615
Name:KLEINMAN, RACHEL J (PSYD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:J
Last Name:KLEINMAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:J
Other - Last Name:SNYDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:101 W 73RD ST
Mailing Address - Street 2:#1A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-2920
Mailing Address - Country:US
Mailing Address - Phone:917-543-5750
Mailing Address - Fax:
Practice Address - Street 1:101 W 73RD ST
Practice Address - Street 2:#1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-2920
Practice Address - Country:US
Practice Address - Phone:917-543-5750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-06
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019510103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical