Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | 35S100480400 | NJ |
NPI | 1124336656 |
---|---|
Provider Name | Steven Robert Yalkowsky |
First Address | White Plains, NY 10601-2124 |
Second Address | Newark, NJ 07102-5310 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2010 |
Last Update Date | 17/09/2010 |