Dr Paul Lee Koppenhaver, PHD is a
Psychologist - School based in Boston, Massachusetts. Dr Paul Lee Koppenhaver is licensed to practice in Massachusetts (license number 284419) and his current practice location is
85 E Newton St, Boston, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(800) 981-4357.
NPI number for Dr Paul Lee Koppenhaver is 1346566122 and his current mailing address is 85 E Newton St, Boston, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346566122.
Healthcare Provider's Profile
| Full Name | Dr Paul Lee Koppenhaver |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - School |
|---|
| Location | 85 E Newton St, Boston, Massachusetts |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1346566122
- Provider Enumeration Date: 04/19/2010
- Last Update Date: 04/19/2010
Medical Identifiers
Medical identifiers for Dr Paul Lee Koppenhaver such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346566122 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 284419 (Massachusetts) | Secondary |
| 101YS0200X | Counselor - School | 284419 (Massachusetts) | Secondary |
| 103TS0200X | Psychologist - School | 284419 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Paul Lee Koppenhaver is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Paul Lee Koppenhaver, PHD
85 E Newton St,
Boston, MA 02118-2340
Ph: (800) 981-4357 | Dr Paul Lee Koppenhaver, PHD
85 E Newton St,
Boston, MA 02118-2340
Ph: (800) 981-4357 |
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