Provider Demographics
NPI:1346448214
Name:TURPIN, FRED H (DMIN)
Entity type:Individual
Prefix:DR
First Name:FRED
Middle Name:H
Last Name:TURPIN
Suffix:
Gender:M
Credentials:DMIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 W 76TH ST
Mailing Address - Street 2:SUITE 6 B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-1552
Mailing Address - Country:US
Mailing Address - Phone:212-580-3635
Mailing Address - Fax:
Practice Address - Street 1:18 LAKEVIEW DR
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:CT
Practice Address - Zip Code:06877-2633
Practice Address - Country:US
Practice Address - Phone:203-894-9489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000666-1102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst