Individual
DR. RYAN PATRICK COPPENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
10770 N 46TH ST BLDG E, TAMPA, FL 33617-3442
(808) 498-3402
Mailing address
10770 N 46TH ST BLDG E, TAMPA, FL 33617-3442
(808) 498-3402
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301017193
MI
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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