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Organization

COASTAL NEUROPSYCHOLOGY, LLC

Active
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Organization

COASTAL NEUROPSYCHOLOGY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEFANIE COPPES PH.D. (OWNER)
(800) 687-1938
Entity
Organization

Contact information

Practice address
3000 GULF TO BAY BLVD STE 300, CLEARWATER, FL 33759-4304
(800) 687-1938
(727) 495-7233
Mailing address
PO BOX 8, TERRA CEIA, FL 34250-0008

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
103TB0200X
Cognitive & Behavioral Psychologist
PY8604
FL
103TC0700X
Clinical Psychologist
PY8604
FL
103TC1900X
Counseling Psychologist
PY8604
FL
103TE1100X
Exercise & Sports Psychologist
PY8604
FL
103TF0000X
Family Psychologist
PY8604
FL
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PY8604
FL
103TS0200X
School Psychologist
PY8604
FL

Other

Enumeration date
03/29/2016
Last updated
07/05/2022
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