Kanellopoulos, Theodora
Kanellopoulos, Theodora is an sole proprietor health care provider with primary practice located at 21 Bloomingdale Rd 7 South, White Plains NY 10605-1504. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Kanellopoulos, Theodora can be contacted via phone (917) 886-4779.Contact Information
Primary practice address
21 Bloomingdale Rd 7 South
White Plains NY 10605-1504
Phone: (917) 886-4779
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 021101 | New York |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 021101 | New York |
Profile Details
| NPI number | 1083091870 |
|---|---|
| LBN Legal business name | Kanellopoulos, Theodora |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 30th, 2015 |
| Last updated | Apr 30th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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