| Carol Mutterperl Psychology, Pc. | |
|
117 W 72nd St 5e New York NY 10023-3204 | |
| (212) 579-6665 | |
| Not Available |
| Full Name | Carol Mutterperl Psychology, Pc. |
|---|---|
| Speciality | Psychologist |
| Location | 117 W 72nd St, New York, New York |
| Authorized Official Name and Position | Carol Mutterperl (PSYCHOLOGIST) |
| Authorized Official Contact | 2123628995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carol Mutterperl Psychology, Pc. 115 Central Park W 10e New York NY 10023-4198 Ph: (212) 579-6665 | Carol Mutterperl Psychology, Pc. 117 W 72nd St 5e New York NY 10023-3204 Ph: (212) 579-6665 |
| NPI Number | 1134326309 |
|---|---|
| Provider Enumeration Date | 06/29/2007 |
| Last Update Date | 11/07/2014 |
| Medicare PECOS PAC ID | 1658262720 |
|---|---|
| Medicare Enrollment ID | O20101213001187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134326309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 008989 (New York) | Primary |
| Provider Name | Carol A Mutterperl |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104037001 PECOS PAC ID: 9133316342 Enrollment ID: I20101213001205 |
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