Individual
DR. ARTHUR KUPERSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD., HSPP
Contact information
Practice address
101 S WASHINGTON ST, MARION, IN 46952-3867
(765) 662-9971
(765) 651-6556
Mailing address
101 S WASHINGTON ST, MARION, IN 46952-3867
(765) 662-9971
(765) 651-6556
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
LIC20090165A
IN
103TC1900X
Counseling Psychologist
LIC20090165A
IN
103TH0100X
Health Service Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000317611
ANTHEM
IN
05
—
100123560A
—
IN
01
—
177120A
MEDICARE
IN
01
—
350868083
TRICARE
IN
01
—
4027
MPLAN
IN
01
—
66108
VALUE OPTIONS
IN
01
—
776095000
MAGELLAN
IN
01
—
88367428
CIGNA
IN
01
—
LIC34001263A
VALUE OPTIONS - GM CLIENTS
IN
Enumeration date
08/15/2006
Last updated
01/28/2016
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