Individual
ASHLEY BLAINE KOPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 667-7000
(910) 815-5850
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4515
NC
Other
Enumeration date
01/29/2008
Last updated
11/10/2022
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