Individual
DR. AMANDA KAY-LYNNE KOPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
33137 SCHOOLCRAFT RD, LIVONIA, MI 48150-1625
(248) 220-7199
(248) 220-7190
Mailing address
33137 SCHOOLCRAFT RD, LIVONIA, MI 48150-1625
(248) 296-6579
(248) 220-7190
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301014628
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
831122039
IRS
—
Enumeration date
04/11/2012
Last updated
03/06/2025
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