NPI 1083995740

Coppedge Psychotherapy INC

Organisation Community/Behavioral Health Agency Lynnwood, WA

Practice location

Address: 20102 Cedar Valley Rd Suite 107, Lynnwood, WA 98036-6333
Phone: (425) 670-2102
Fax: (425) 670-8081

Authorised official

Name: Kristie Jo Coppedge
Title: Owner
Phone: (425) 670-2102

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence LW00007408 (WA)

Other Community/Behavioral Health providers in Washington →

Registry record

NPI: 1083995740
Entity type: Organization
NPI issued: 7 Sep 2011
Record last updated: 27 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.