Individual
JOHN HENRY WAPNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
231 THOMAS RD, OLD CHATHAM, NY 12136-3514
(518) 392-3360
(518) 392-3390
Mailing address
231 THOMAS RD, OLD CHATHAM, NY 12136-3514
(518) 392-3360
(518) 392-3390
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
005490-2
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00596745
—
NY
Enumeration date
01/18/2007
Last updated
01/24/2017
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