Individual
KENNETH LOUIS TEAPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 PARK DR, KINGS PARK, NY 11754-3830
(631) 544-9206
Mailing address
15 PARK DR, KINGS PARK, NY 11754-3830
(631) 544-9206
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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