| NPI | 1659182194 |
|---|---|
| Doing Business As | KOPPISCH PSYCHOTHERAPY, LLC |
| Entity Type | Organization |
| Authorized Contact | DAVID KOPPISCH Owner 215-219-3950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2025-01-15 |