Provider Demographics
NPI:1992070577
Name:KOPP, STEPHEN FRANCIS (TEP)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:FRANCIS
Last Name:KOPP
Suffix:
Gender:M
Credentials:TEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 UNIVERSITY BLVD W
Mailing Address - Street 2:#1318
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-3351
Mailing Address - Country:US
Mailing Address - Phone:301-592-0542
Mailing Address - Fax:
Practice Address - Street 1:8901 NEW HAMPSHIRE AVE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20903-3611
Practice Address - Country:US
Practice Address - Phone:301-422-5439
Practice Address - Fax:301-422-5416
Is Sole Proprietor?:No
Enumeration Date:2012-03-15
Last Update Date:2012-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor