James J Coupe III, PSY.D., MBA
Individual provider Active NPI Clinical Psychologist · Ardmore, PA
NPI 1255537809 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1255537809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PS015639 (PA)
- Practice address
- 125 Coulter Ave
Ardmore, PA 19003-2410 - Phone
- (610) 642-4873
- NPI assigned
- Jun 21, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS015639 | PA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Art of Friendship Social Skills Program, PC | Past | Accepting new patients | |
| Center for Psychological Services | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS015639 | PA | Yes |
Addresses
Primary practice location
125 Coulter Ave
Ardmore, PA 19003-2410
Mailing address
103 Lincoln Cir
Broomall, PA 19008-1502
Phone (484) 422-8460
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All providers in Ardmore, PA · Clinical Psychologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.