Organization Name: | CHESTER D. COPEMANN, PHD, P.C. |
NPI Number: | 1134399298 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHESTER D. COPEMANN (PRESIDENT) |
Mailing Address: | #34 Aldersville Christiansted |
State: | VI US |
Postal Code: | 00820 |
Phone Number: | 3407735113 |
Fax Number: | 3407735163 |
NPI Enumeration Date: | 03/05/2008 |
NPI Last Update Date: | 03/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | 02-014-PSY |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |