Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | ||
Y | 103T00000X | Psychologist |
NPI | 1003362815 |
---|---|
Provider Name | Dr. Lital Koropitzer |
First Address | Palo Alto, CA 94301-2303 |
Second Address | Palo Alto, CA 94301-2303 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2016 |
Last Update Date | 21/10/2020 |