Doctor Name: | DR. DAVID L KUPFER |
NPI Number: | 1023085057 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 0810001026 |
Business Practice Address: | 7700 Leesburg Pike #404 Falls Church, VA - 220432615 |
Business Phone Number: | 7038218990 |
Business Fax Number: | 7038218990 |
Mailing Address: | 7700 Leesburg Pike, #404 FALLS CHURCH |
State: | VA |
Postal Code: | 220432615 |
Phone Number: | 7038218990 |
Fax Number: | 7038218990 |
NPI Enumeration Date: | 03/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 0810001026 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |