JEFFREY C. DIEBOLD

LONG BEACH, NY
NPI1538284781
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: NY  016440)
Enumeration Date2007-03-20
Last Update Date2009-04-21
Business Address
Dr. JEFFREY C. DIEBOLD
143 E PARK AVE SECOND FLOOR
LONG BEACH, NY 11561-3548
Phone number: 718-309-7782
Mailing Address
Dr. JEFFREY C. DIEBOLD
6625 103RD ST APT 5P
FOREST HILLS, NY 11375-2046
Phone number: 718-309-7782
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