John L. Theodore PH.D.

NPI 1639396641 - Psychologist - 103TC0700X

NPI Details
NPI 1639396641
Gender Male
Enumeration Date 04/19/2007
Last Updated 12/21/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
412 AVENUE OF THE AMERICAS
SUITE 413
NEW YORK NY, 10011-8409, US
Phone (646) 239-7774
Fax (212) 388-1215
Business Location
412 AVENUE OF THE AMERICAS
SUITE 413
NEW YORK NY, 10011-8409, US
Phone (646) 239-7774
Fax (212) 388-1215
Toxanomy
Taxonomy Code 103TC0700X
License State New York
License Number 68 017120
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According to our database, Dr. John L. Theodore PH.D. NPI is 1639396641, taxonomy code is 103TC0700X and license number is 68 017120, license state is located at New York. John L. Theodore PH.D. physically located at 412 Avenue Of The Americas, New York NY, 10011-8409. NPI Number John L. Theodore PH.D. has the Individual type.

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1639396641 NPI number is provided on an as is basis without warranty of any kind. 1639396641 is maintained by the National Plan & Provider Enumeration System. The contents of John L. Theodore PH.D. are for informational purposes only.