Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 017887-1 | NY |
Y | 103TC0700X | Clinical Psychologist | 017887-1 | NY |
N | 103G00000X | Clinical Psychologist | PSY19809 | CA |
N | 103TC0700X | Clinical Psychologist | PSY19809 | CA |
NPI | 1003988684 |
---|---|
Provider Name | Dr. Kenneth S Pound |
First Address | New York, NY 10023-3241 |
Second Address | New York, NY 10001-4509 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2006 |
Last Update Date | 03/12/2008 |