| NPI | 1306441514 |
|---|---|
| Other Name | SHANNON R. POPPITO, PHD |
| Entity Type | Organization |
| Authorized Contact | SHANNON ROSE POPPITO Clinical Psychologist 646-853-4376 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2021-01-11 |