Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | 02-014-PSY | VI |
Y | 103G00000X | Clinical Psychologist | 02-014-PSY | VI |
Y | 103TC0700X | Clinical Psychologist | 02-014-PSY | VI |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 02-014-PSY | VI |
N | 103TF0200X | Forensic Psychologist | 02-014-PSY | VI |
N | 103TH0004X | Health Psychologist | 02-014-PSY | VI |
N | 103TR0400X | Rehabilitation Psychologist | 02-014-PSY | VI |
N | 103TS0200X | School Psychologist | 02-014-PSY | VI |
NPI | 1457521536 |
---|---|
Provider Name | Dr. Chester D. Copemann |
First Address | Kingshill, VI 00851-1547 |
Second Address | Christiansted, VI 00820 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2008 |
Last Update Date | 05/03/2008 |