National Provider Identifier

Keith Klostermann, PHD, LMHC

Keith Klostermann, PHD, LMHC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in North Tonawanda, NY and a listed phone number of (716) 807-7337.

NPI 1861911695North Tonawanda, NYMental Health Counselor

Profile Overview

NPI
1861911695
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
September 13, 2017
Last Updated
July 21, 2022

Practice Location

  • 2890 Niagara Falls Blvd
  • North Tonawanda, NY 14120-1114

Phone: (716) 807-7337

Specialties

  • Mental Health Counselor (101YM0800X)
  • Marriage & Family Therapist (106H00000X)
Full Record
NPI
1861911695
Entity Type
Individual
Last Name
Klostermann
First Name
Keith
Credential
PHD, LMHC
Mailing Street Address
2890 Niagara Falls Blvd
Mailing City
North Tonawanda
Mailing State
NY
Mailing ZIP Code
14120-1114
Mailing Country
US
Mailing Phone
(716) 807-7337
Mailing Fax
(716) 213-4400
Practice Street Address
2890 Niagara Falls Blvd
Practice City
North Tonawanda
Practice State
NY
Practice ZIP Code
14120-1114
Practice Country
US
Practice Phone
(716) 807-7337
Practice Fax
(716) 213-4400
Enumeration Date
September 13, 2017
Last Updated
July 21, 2022
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X), Marriage & Family Therapist (106H00000X)