Provider Demographics
NPI:1770941668
Name:MARC S. KLEBER, PH.D., PSYCHOLOGIST, P.C.
Entity type:Organization
Organization Name:MARC S. KLEBER, PH.D., PSYCHOLOGIST, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:S
Authorized Official - Last Name:KLEBER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:914-260-8884
Mailing Address - Street 1:369 ASHFORD AVE
Mailing Address - Street 2:1B
Mailing Address - City:DOBBS FERRY
Mailing Address - State:NY
Mailing Address - Zip Code:10522-2626
Mailing Address - Country:US
Mailing Address - Phone:914-231-6878
Mailing Address - Fax:
Practice Address - Street 1:369 ASHFORD AVE
Practice Address - Street 2:1B
Practice Address - City:DOBBS FERRY
Practice Address - State:NY
Practice Address - Zip Code:10522-2626
Practice Address - Country:US
Practice Address - Phone:914-231-6878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-05
Last Update Date:2016-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013265-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty