Individual
DR. JENNIFER A. RAPKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
5496 E TAFT RD, N SYRACUSE, NY 13212-3784
(315) 552-6700
Mailing address
5824 WIDEWATERS PKWY, EAST SYRACUSE, NY 13057-3072
(315) 251-3105
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
019669
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03545439
—
NY
05
—
47037660631
—
NE
Enumeration date
08/23/2007
Last updated
11/01/2017
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