Individual
ANDREA COPPOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
PHD
Contact information
Practice address
1106 2ND ST STE 103, #535, ENCINITAS, CA 92024-5034
(760) 814-1008
Mailing address
1106 2ND ST STE 103, #535, ENCINITAS, CA 92024-5034
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
36043
CA
Other
Enumeration date
12/04/2025
Last updated
12/04/2025
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