Individual
DR. RAYMOND A. BEPKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
26 BEVERLY PL, UTICA, NY 13501-6122
(315) 794-9962
Mailing address
26 BEVERLY PL, UTICA, NY 13501-6122
(315) 794-9962
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
007918-1
NY
103TA0400X
Addiction (Substance Use Disorder) Psychologist
007918-1
NY
103TB0200X
Cognitive & Behavioral Psychologist
007918-1
NY
103TC0700X
Clinical Psychologist
007918-1
NY
103TR0400X
Rehabilitation Psychologist
007918-1
NY
Other
Enumeration date
09/18/2008
Last updated
09/18/2008
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