Individual
SUPIERI MOLLY COPPEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LEP #3883
Contact information
Practice address
6131 ORANGETHORPE AVE STE 400A, BUENA PARK, CA 90620-4902
(714) 805-7002
Mailing address
6131 ORANGETHORPE AVE STE 400A, BUENA PARK, CA 90620-4902
(714) 805-7002
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
3883
CA
Other
Enumeration date
11/14/2019
Last updated
02/03/2025
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