Provider Demographics
NPI:1801253398
Name:KOLPIN, THIERRY (PHD)
Entity type:Individual
Prefix:DR
First Name:THIERRY
Middle Name:
Last Name:KOLPIN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 NE HOSTMARK ST STE 205
Mailing Address - Street 2:
Mailing Address - City:POULSBO
Mailing Address - State:WA
Mailing Address - Zip Code:98370-7538
Mailing Address - Country:US
Mailing Address - Phone:909-992-8500
Mailing Address - Fax:360-900-0321
Practice Address - Street 1:1050 NE HOSTMARK ST STE 205
Practice Address - Street 2:
Practice Address - City:POULSBO
Practice Address - State:WA
Practice Address - Zip Code:98370-7538
Practice Address - Country:US
Practice Address - Phone:360-200-8811
Practice Address - Fax:360-900-0321
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-28
Last Update Date:2025-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY61358760103TC1900X
CAPSY27423103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling