| Doctor Name: | DR. STEVEN E KROUPA |
| NPI Number: | 1174659288 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 1630 |
| Business Practice Address: | 153 Lumina Pl Holly Springs, NC - 275408311 |
| Business Phone Number: | 9195523880 |
| Business Fax Number: | |
| Mailing Address: | 153 Lumina Pl, HOLLY SPRINGS |
| State: | NC |
| Postal Code: | 275408311 |
| Phone Number: | 9195523880 |
| Fax Number: | |
| NPI Enumeration Date: | 02/25/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1630 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |