MS. LAURA KATHLEEN KOPPANG


Address: 9533 Peartree Ln, Cypress, CA 90630-3250
Phone: 7149950371

MS. LAURA KATHLEEN KOPPANG (NPI# 1578873543) 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) 1578873543
Entity Type Individual
Full Name MS. LAURA KATHLEEN KOPPANG
Credential PH.D.
Practice Address 9533 Peartree Ln
Cypress
CA 90630-3250
Practice Telephone 7149950371
Mailing Telephone 7149950371
Enumeration Date 2010-10-08
Last Update Date 2010-10-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY23841 CA Behavioral Health & Social Service Providers

Office Location

Street Address 9533 PEARTREE LN
City CYPRESS
State CA
Zip Code 90630-3250

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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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Competitor

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City CYPRESS
Zip Code 90630

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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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