Individual provider · Type 1 NPI

Joseph Coppolo Jr., PSY.D

Clinical Psychologist · Staten Island, NY

NPI number 1619150299 Active

Practice location

3 William Ave
Staten Island, NY 10308-3142

Fax (718) 667-3790

Specialties and licenses

Taxonomy	Code	License
Clinical Psychologist Primary	103TC0700X	010359 (NY)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1619150299

Joseph Coppolo Jr., PSY.D's National Provider Identifier is 1619150299, issued on Dec 6, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Staten Island, NY. The record was last updated on Dec 6, 2007.