Individual
DR. BRADLEY DALE KUPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6600 BRUCEVILLE RD, SACRAMENTO, CA 95823-4671
(916) 688-6984
Mailing address
6600 BRUCEVILLE RD, SACRAMENTO, CA 95823-4671
(916) 688-6353
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
PSY 18076
CA
Other
Enumeration date
12/28/2006
Last updated
01/03/2022
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