MR. John H Koppenhaver IV, MA, LCP

NPI #1447281357 in Andover, Kansas

Provider Information

NPI Number: 1447281357
Entity Type: Individual
Name: MR. John H Koppenhaver IV, MA, LCP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: MA, LCP
Enumeration Date: Jul 6, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 217 W IRA CT
City: Andover
State: Kansas
ZIP Code: 67002-9469
Phone: (316) 733-5047

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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