Individual
MS. AMY ELIZABETH KUPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
11311 BRIDGEPORT WAY SW STE 309, LAKEWOOD, WA 98499-3078
(253) 985-2949
(206) 933-1047
Mailing address
11311 BRIDGEPORT WAY SW STE 309, LAKEWOOD, WA 98499-3078
(253) 985-2949
(206) 933-1047
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY60803628
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2099871
—
WA
Enumeration date
07/24/2013
Last updated
12/07/2020
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