Provider Demographics
NPI:1235439050
Name:SPEI, EKATERINI (PSYD)
Entity Type:Individual
Prefix:
First Name:EKATERINI
Middle Name:
Last Name:SPEI
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:EKATERINI
Other - Middle Name:
Other - Last Name:SPEI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:1500 WATERS PL
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-2723
Mailing Address - Country:US
Mailing Address - Phone:718-862-4566
Mailing Address - Fax:718-862-4862
Practice Address - Street 1:1500 WATERS PL
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2723
Practice Address - Country:US
Practice Address - Phone:718-862-4566
Practice Address - Fax:718-862-4862
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0187901103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist