| Doctor Name: | MS. EILEEN DEPPOLITI |
| NPI Number: | 1821313263 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. PSYCHOLOGY |
| License Number: | 003162-1 |
| Business Practice Address: | 102 John St Chittenango, NY - 130371219 |
| Business Phone Number: | 3107272919 |
| Business Fax Number: | |
| Mailing Address: | 102 John St, CHITTENANGO |
| State: | NY |
| Postal Code: | 130371219 |
| Phone Number: | 3157272919 |
| Fax Number: | |
| NPI Enumeration Date: | 03/29/2010 |
| NPI Last Update Date: | 03/29/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 003162-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |