Individual
GINA K KOEPPL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2251 N SHORE DR, RHINELANDER, WI 54501-8360
(715) 361-2000
(715) 361-2877
Mailing address
2251 N SHORE DR, RHINELANDER, WI 54501-8360
(715) 361-2000
(715) 361-2877
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1240
WI
103TC0700X
Clinical Psychologist
1240
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39040400
—
WI
Enumeration date
10/04/2006
Last updated
03/25/2019
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