Individual
DR. ELIZABETH B. KOOPERKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
012558-1
NY
103TC0700X
Clinical Psychologist
Primary
048.0093460
VT
Other
Enumeration date
06/22/2010
Last updated
01/12/2015
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