Individual
KELLY SOPCHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
411 OAK ST, CINCINNATI, OH 45219-2504
(513) 984-1800
(513) 984-4909
Mailing address
411 OAK ST, CINCINNATI, OH 45219-2504
(513) 984-1800
(513) 984-4909
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
36945
TX
103TS0200X
School Psychologist
70461
TX
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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