Koppenhaver, Paul Lee

Koppenhaver, Paul Lee is an sole proprietor health care provider with primary practice located at 85 E Newton St , Boston MA 02118-2340. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is his primary health care specialty. Koppenhaver, Paul Lee can be contacted via phone (800) 981-4357.

Contact Information

Primary practice address
85 E Newton St Boston MA 02118-2340
Phone: (800) 981-4357
Fax: (617) 414-8306
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 284419 Massachusetts
Behavioral Health & Social Service Providers / School 101YS0200X 284419 Massachusetts
Behavioral Health & Social Service Providers / School 103TS0200X 284419 Massachusetts

Profile Details

NPI number 1346566122
LBN Legal business name Koppenhaver, Paul Lee
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2010
Last updated Apr 19th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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