Organization
JEFF KUPFER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY H KUPFER PHD BCBA (PRESIDENT)
(303) 899-4020
Entity
Organization
Contact information
Practice address
218 GARFIELD LN, ERIE, CO 80516
(303) 899-4020
(720) 304-0028
Mailing address
PO BOX 85, ERIE, CO 80516-0085
(303) 899-4020
(720) 304-0028
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
66186854
—
CO
Enumeration date
07/21/2006
Last updated
01/10/2008
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