| NPI | 1467132548 |
|---|---|
| Former Legal Business Name | KIMBERLY COPPERSMITH, PSY.D., LLC |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY COPPERSMITH Psychologist/Owner 971-303-9636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2023-07-24 |