Individual provider · Type 1 NPI
John L. Theodore, PhD
Clinical Psychologist · New York, NY
Practice location
412 Avenue Of The Americas, Suite 413
New York, NY 10011-8409
Fax (212) 388-1215
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | 68 017120 (NY) |
Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
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About NPI 1639396641
John L. Theodore, PhD's National Provider Identifier is 1639396641, issued on Apr 19, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in New York, NY. The record was last updated on Dec 21, 2010.