Individual
ALAN SUPRANER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2600 NETHERLAND AVE, 108, BRONX, NY 10463-4801
(718) 601-7227
Mailing address
2600 NETHERLAND AVE, SUITE 108, BRONX, NY 10463-4801
(718) 601-7227
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
010827
NY
103TC0700X
Clinical Psychologist
010827
NY
103TC2200X
Clinical Child & Adolescent Psychologist
010827
NY
103TF0000X
Family Psychologist
010827
NY
103TP0814X
Psychoanalysis Psychologist
010827
NY
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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