Individual
DR. DANIEL EPHRAIM POTT-PEPPERMAN
Active
Individual
DR. DANIEL EPHRAIM POTT-PEPPERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001024
IA
103TC0700X
Clinical Psychologist
3564
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386899086
—
IA
05
—
180710719
—
AR
01
—
P00816719
MEDICARE RAILROAD
IA
Enumeration date
11/21/2008
Last updated
01/11/2017
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