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Organization

DAVID B. COPPEL, PH.D., P.S.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID B. COPPEL PH.D. (CLINICAL PSYCHOLOGIST)
(425) 822-1988
Entity
Organization

Contact information

Practice address
1104 MARKET ST, KIRKLAND, WA 98033-5441
(425) 822-1988
(425) 889-8362
Mailing address
1104 MARKET ST, KIRKLAND, WA 98033-5441
(425) 822-1988
(425) 889-8362

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
802
WA
103TC0700X
Clinical Psychologist
802
WA
103TE1100X
Exercise & Sports Psychologist
Primary
802
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
148927100000
PREMERA BLUE CROSS ID#
WA
01
CO8141
REGENCE BLUE SHIELD ID#
WA
Enumeration date
04/12/2007
Last updated
09/11/2025
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