Individual
DR. JEANE RAJACIC-POPPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
2286 RICHMOND RD, STATEN ISLAND, NY 10306-2563
(718) 980-8369
Mailing address
2286 RICHMOND RD, STATEN ISLAND, NY 10306-2563
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
019378
NY
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
019378
NY
103TF0000X
Family Psychologist
—
—
103TH0004X
Health Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
02/29/2012
Last updated
02/29/2012
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