Individual
DR. ALEXIS KATE KOPP-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
26 W 9TH ST APT 6D, NEW YORK, NY 10011-8922
(917) 992-5039
Mailing address
15 W 17TH ST APT 2, NEW YORK, NY 10011-5506
(917) 992-5039
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
68 019336
NY
Other
Enumeration date
10/21/2011
Last updated
10/21/2011
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