Individual
DR. STEPHANIE KING COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
610 MAIN ST, LAFAYETTE, IN 47901-1451
(765) 446-6549
Mailing address
610 MAIN ST, LAFAYETTE, IN 47901-1451
(765) 446-6549
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
20043155A
IN
103TC0700X
Clinical Psychologist
Primary
99070557A
IN
Other
Enumeration date
01/07/2016
Last updated
05/31/2018
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