Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | ||
N | 103TC1900X | Counseling Psychologist |
NPI | 1164586673 |
---|---|
Provider Name | Mr. Spiro Michael Tsoumpariotis |
First Address | Bayside, NY 11361-1234 |
Second Address | Bayside, NY 11361-1234 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2006 |
Last Update Date | 08/07/2007 |