Provider Demographics
NPI:1043520844
Name:CEPELEWICZ-HARBATER, EILEEN BATH (PSYD)
Entity type:Individual
Prefix:DR
First Name:EILEEN
Middle Name:BATH
Last Name:CEPELEWICZ-HARBATER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:341 HUNGRY HARBOR RD
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11581-2804
Mailing Address - Country:US
Mailing Address - Phone:516-791-5181
Mailing Address - Fax:
Practice Address - Street 1:341 HUNGRY HARBOR RD
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11581-2804
Practice Address - Country:US
Practice Address - Phone:516-791-5181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-14
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool