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Individual

JESSE J TEPPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
300 CENTRAL PARK WEST, NEW YORK, NY 10024
(212) 787-5250
(212) 787-9407
Mailing address
300 CENTRAL PARK WEST, NEW YORK, NY 10024
(212) 787-5250
(212) 787-9407

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6464
NY
103TC0700X
Clinical Psychologist
PS008299L
PA

Other

Enumeration date
09/28/2006
Last updated
07/08/2007
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