Individual
DEBORAH ANNE WITTWER KOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5755 COTTLE RD, SAN JOSE, CA 95123-3640
(408) 972-3292
Mailing address
5755 COTTLE RD, SAN JOSE, CA 95123-3640
(408) 972-3292
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY17467
CA
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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