Doctor Name: | DR. MICHELE OPPER |
NPI Number: | 1164732046 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 015906 |
Business Practice Address: | 71 Franklin Tpke Fl 2 Waldwick, NJ - 074631851 |
Business Phone Number: | 9175705735 |
Business Fax Number: | |
Mailing Address: | 476 Old Stone Rd, RIDGEWOOD |
State: | NJ |
Postal Code: | 074501417 |
Phone Number: | 2014456895 |
Fax Number: | |
NPI Enumeration Date: | 10/13/2010 |
NPI Last Update Date: | 09/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | 015906 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |