Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 009411-1 | NY |
N | 103TC0700X | Clinical Psychologist | 009411-1 | NY |
N | 103TS0200X | School Psychologist | 009411-1 | NY |
NPI | 1043427974 |
---|---|
Provider Name | Dr. Joyce G. Popkin |
First Address | Centerport, NY 11721-1610 |
Second Address | Centerport, NY 11721-1610 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2007 |
Last Update Date | 08/07/2007 |