Individual
DR. CARLY TATE TEPERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1140 BROADWAY, SUITE 204, NEW YORK, NY 10001
(516) 229-1360
Mailing address
1140 BROADWAY, SUITE 204, NEW YORK, NY 10001
(347) 927-1305
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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