Terry Allen Kupers, M.D.

Individual provider Active NPI Psychiatry Physician · Piedmont, CA

NPI 1508060385 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1508060385
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatry Physician 2084P0800X
License
A23440 (CA)
Practice address
8 Wildwood Ave
Piedmont, CA 94610-1044
Phone
(510) 654-8333
Fax
(510) 654-8333
NPI assigned
Jun 13, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A23440CAMDPsychiatry Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A23440 CA Yes

Addresses

Primary practice location

8 Wildwood Ave
Piedmont, CA 94610-1044

Mailing address

8 Wildwood Ave
Piedmont, CA 94610-1044
Phone (510) 654-8333

Other providers in Piedmont, CA

All providers in Piedmont, CA · Psychiatry Physician in California

Sources for this page

Verify at the official NPI Registry.