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Individual

DR. GEORGE P. POPPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
107 E. FRANKLIN ST, MONROE, NC 28112-4850
(704) 238-9011
(704) 238-9891
Mailing address
PO BOX 1156, MONROE, NC 28111-1156
(704) 238-9011
(704) 238-9891

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
5105
NY
103T00000X
Psychologist
Primary
HSP-P3134
NC
103TC0700X
Clinical Psychologist
3134
NC
103TF0200X
Forensic Psychologist
3134
NC
103TM1800X
Intellectual & Developmental Disabilities Psychologist
3134
NC
103TS0200X
School Psychologist
NC
103TS0200X
School Psychologist
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6000792
NC
Enumeration date
07/11/2006
Last updated
07/21/2021
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