Doctor Name: | CARYN R DEPINNA |
NPI Number: | 1104056993 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 510 Hempstead Tpke Suite 202 West Hempstead, NY - 115521152 |
Business Phone Number: | 9146296505 |
Business Fax Number: | |
Mailing Address: | 510 Hempstead Tpke, Suite 202 WEST HEMPSTEAD |
State: | NY |
Postal Code: | 115521152 |
Phone Number: | 9146296505 |
Fax Number: | |
NPI Enumeration Date: | 07/15/2009 |
NPI Last Update Date: | 09/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |