Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | PY 8604 | FL |
N | 103TC0700X | Clinical Psychologist | PY 8604 | FL |
Y | 102L00000X | Psychologist | PY 8604 | FL |
Y | 103T00000X | Psychologist | PY 8604 | FL |
N | 103TB0200X | Cognitive & Behavioral Psychologist | PY 8604 | FL |
N | 103G00000X | Clinical Psychologist | PY 8604 | FL |
N | 103TC0700X | Clinical Psychologist | PY 8604 | FL |
N | 103TC1900X | Counseling Psychologist | PY 8604 | FL |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | PY 8604 | FL |
N | 103TE1100X | Exercise & Sports Psychologist | PY 8604 | FL |
N | 103TF0000X | Family Psychologist | PY 8604 | FL |
N | 103TM1800X | Intellectual & Developmental Disabilities | PY 8604 | FL |
N | 103TS0200X | School Psychologist | PY 8604 | FL |
NPI | 1093065807 |
---|---|
Provider Name | Dr. Stefanie J Coppes |
First Address | Clearwater, FL 33759-2129 |
Second Address | Clearwater, FL 33759 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2012 |
Last Update Date | 28/07/2019 |