Provider Demographics
NPI:1457589418
Name:ALAN V. TEPP, PH.D. PSYCHOLOGIST, P.C.
Entity Type:Organization
Organization Name:ALAN V. TEPP, PH.D. PSYCHOLOGIST, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:V
Authorized Official - Last Name:TEPP
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:914-232-1000
Mailing Address - Street 1:PO BOX 860
Mailing Address - Street 2:
Mailing Address - City:KATONAH
Mailing Address - State:NY
Mailing Address - Zip Code:10536-0860
Mailing Address - Country:US
Mailing Address - Phone:914-232-1000
Mailing Address - Fax:914-232-1189
Practice Address - Street 1:16 DAKIN AVE
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-2826
Practice Address - Country:US
Practice Address - Phone:914-232-1000
Practice Address - Fax:914-232-1189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-29
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008068103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty