Individual
DR. REBECCA SOPHIR-KUSNETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
98 CUTTERMILL RD, SUITE 399 NORTH, GREAT NECK, NY 11021-3036
(917) 751-4357
(516) 773-2867
Mailing address
98 CUTTERMILL RD, SUITE 399 NORTH, GREAT NECK, NY 11021-3036
(917) 751-4357
(516) 773-2867
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
016356
NY
103T00000X
Psychologist
016356
NY
103TC0700X
Clinical Psychologist
016356
NY
103TH0100X
Health Service Psychologist
016356
NY
103TM1800X
Intellectual & Developmental Disabilities Psychologist
016356
NY
103TP2701X
Group Psychotherapy Psychologist
016356
NY
103TR0400X
Rehabilitation Psychologist
016356
NY
Other
Enumeration date
10/27/2006
Last updated
03/15/2013
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