MS. AMY ELIZABETH KUPPER


Address: 11311 Bridgeport Way Sw Ste 309, Lakewood, WA 98499-3078
Phone: 2539852949

MS. AMY ELIZABETH KUPPER (NPI# 1306288899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306288899
Entity Type Individual
Full Name MS. AMY ELIZABETH KUPPER
Credential MS
Practice Address 11311 Bridgeport Way Sw Ste 309
Lakewood
WA 98499-3078
Mailing Address 1600 E Olive St
Sound Mental Health
Seattle
WA 98122-2735
Practice Telephone 2539852949
Practice Fax Number 2539852948
Mailing Telephone 2063022200
Mailing Fax Number 2063022210
Enumeration Date 2013-07-24
Last Update Date 2019-05-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PY60803628 WA Behavioral Health & Social Service Providers

Office Location

Street Address 11311 BRIDGEPORT WAY SW STE 309
City LAKEWOOD
State WA
Zip Code 98499-3078

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417931007 Todd Michael Willcox Surgery 11311 Bridgeport Way Sw Ste 309, Lakewood, WA 98499-3078 2005-12-06
1811208705 David W Timme Otolaryngology 11311 Bridgeport Way Sw Ste 309, Lakewood, WA 98499-3078 2010-06-25

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1447736657 Marcela Cunan Counselor 9330 59th Avenue Southest, Lakewood, WA 98499 2018-07-11
1609382381 Leroy Moore IIi Counselor 8811 S. Tacoma Way, 106, Lakewood, WA 98499 2017-12-18
1578077657 Andrea Gaston Behavior Technician 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 2017-11-27
1609389931 Jennifer King Social Worker 5900 100th St Sw Ste 17b, Lakewood, WA 98499 2017-11-08
1750806337 Wonyoung Lee Counselor 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 2017-08-04
1043749443 Frederick Paltron Edwards Counselor 9500 Front Street, Suite 100, Lakewood, WA 98499 2017-06-08
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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1093296261 Kendra A Mathys Psyd LLC Psychologist 15644 Madison Ave Ste 202, Lakewood, OH 44107-5622 2018-08-27
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1043686991 Vincent Thomas Gollogly Psychologist 11444 Gravelly Lake Dr Sw, Lakewood, WA 98499-1404 2015-08-14
1710390299 Mark Onusko Psychologist 2085 Wyandotte Ave, Lakewood, OH 44107-6135 2014-06-03
1093126369 Elizabeth Ormond Ahlers Psychologist 1687 Cole Blvd Ste 103, Lakewood, CO 80401-3318 2014-05-08
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Competitor

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City LAKEWOOD
Zip Code 98499

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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