NPI Profile for THEODORE A KASTNER in BLOOMFIELD, NJ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Intellectual & Developmental Disabilities |
103TM1800X | 62 | Psychologist, Clinical |
| NPI Number | 1942226154 |
|
| Status | Active | |
| Credentials | M.D.,M.S. | |
| Entity | Individual | |
| Enumeration date | 07/14/2006 | |
| Last updated | 04/30/2009 - About 17 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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THEODORE A KASTNER
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