Doctor Name: | DR. JOSEPHINE S. MINARDO |
NPI Number: | 1144235029 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | 016545 |
Business Practice Address: | 10 Fieldstone Dr Unit #332 Hartsdale, NY - 105301577 |
Business Phone Number: | 9148317969 |
Business Fax Number: | |
Mailing Address: | 171 E Post Rd, Suite 310 WHITE PLAINS |
State: | NY |
Postal Code: | 106014965 |
Phone Number: | 9144345882 |
Fax Number: | |
NPI Enumeration Date: | 07/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 016545 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |