Individual
DR. STEPHEN KOPETSKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1750 17TH ST, BUILDING C, SARASOTA, FL 34234-8632
(941) 953-0000
Mailing address
5692 BENTGRASS DR, #211, SARASOTA, FL 34235-7641
(941) 341-0772
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 7095
FL
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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