| NPI | 1982069985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND A. BEPKO President 315-794-9962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 007918) |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2015-12-18 |