Provider Demographics
NPI:1679614879
Name:KALB, MARGERY BETH (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MARGERY
Middle Name:BETH
Last Name:KALB
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:176 E 77TH ST
Mailing Address - Street 2:6E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-1908
Mailing Address - Country:US
Mailing Address - Phone:212-327-3129
Mailing Address - Fax:
Practice Address - Street 1:170 E 77TH ST
Practice Address - Street 2:2E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-1912
Practice Address - Country:US
Practice Address - Phone:212-327-3129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016060103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist