Sofia Georgoulias
Clinical Psychologist Addiction Psychologist (Substance Use Disorder)
160 W 86th St
New York
, New York 10024-4018
Sofia Georgoulias
Clinical Psychologist Addiction Psychologist (Substance Use Disorder)
160 W 86th St
New York
, New York 10024-4018
(508) 513-5443
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About
Features
Specialties
- Addiction Psychologist (Substance Use Disorder)
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Sofia Georgoulias
- 16704 Gothic Dr Jamaica
- Jamaica, NY
- Zip : 11432-1911
- Phone : (508) 513-5443
Second Address
- Sofia Georgoulias
- 160 W 86th St
- New York, NY
- Zip : 10024-4018
- Phone : (212) 534-0777
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | ||
| Y | 103G00000X | Clinical Psychologist | 021123 | NY |
| Y | 103TC0700X | Clinical Psychologist | 021123 | NY |
National Provider Identifier
| NPI | 1619217619 |
|---|---|
| Provider Name | Sofia Georgoulias |
| First Address | Jamaica, NY 11432-1911 |
| Second Address | New York, NY 10024-4018 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/02/2013 |
| Last Update Date | 12/06/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.