Individual
DR. THOMAS EDWARD KUPKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-7641
Mailing address
1031 HIGH DUNES QUAY, UNIT 105, HAMPTON, VA 23664-1551
(757) 788-9282
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
0810001380
VA
103T00000X
Psychologist
Primary
0810001380
VA
Other
Enumeration date
01/31/2006
Last updated
01/04/2016
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