Individual
MADISON COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 S ADAMS ST, JENKS, OK 74037-2573
(918) 409-0157
Mailing address
1824 COMMONS CIR STE B, YUKON, OK 73099-9538
(405) 467-6782
(405) 467-6100
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
—
—
235Z00000X
Speech-Language Pathologist
CF623
OK
Other
Enumeration date
09/11/2023
Last updated
03/12/2026
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