Doctor Name: | DR. JOHN - TARPINIAN |
NPI Number: | 1073654703 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ED.D. |
License Number: | SI 02119 |
Business Practice Address: | 72 Pinecrest Dr Woodcliff Lake, NJ - 076778220 |
Business Phone Number: | 2019301514 |
Business Fax Number: | 2019301088 |
Mailing Address: | 72 Pinecrest Dr, WOODCLIFF LAKE |
State: | NJ |
Postal Code: | 076778220 |
Phone Number: | 2019301514 |
Fax Number: | 2019301088 |
NPI Enumeration Date: | 02/08/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | SI 02119 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |